Stacy A Upshaw, MD | |
859 Winter St, Lucedale, MS 39452-6603 | |
(601) 947-3161 | |
(601) 947-9948 |
Full Name | Stacy A Upshaw |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 31 Years |
Location | 859 Winter St, Lucedale, Mississippi |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710998018 | NPI | - | NPPES |
0125729 | Medicaid | MS | |
9935004 | Other | AL | ALABAMA MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 18212 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Greater Mobile Urgent Care | 1456429281 | 33 |
Gmuc Of Springhill Llc | 6901091156 | 23 |
Gmuc Of Saraland | 8820211436 | 24 |
Entity Name | Greater Mobile Urgent Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801063938 PECOS PAC ID: 1456429281 Enrollment ID: O20081007000622 |
Entity Name | Gmuc Of Springhill Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952617508 PECOS PAC ID: 6901091156 Enrollment ID: O20101112000731 |
Entity Name | Gmuc Of Citronelle Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164794343 PECOS PAC ID: 8426210014 Enrollment ID: O20120426000475 |
Entity Name | Gmuc Of Saraland |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396161758 PECOS PAC ID: 8820211436 Enrollment ID: O20140529002160 |
Mailing Address | Practice Location Address |
---|---|
Stacy A Upshaw, MD 859 Winter St, Lucedale, MS 39452-6603 Ph: (601) 947-3161 | Stacy A Upshaw, MD 859 Winter St, Lucedale, MS 39452-6603 Ph: (601) 947-3161 |
Benjamin A. Marble, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 859 Winter St, Lucedale, MS 39452 Phone: 601-766-4212 | |
Reese G Lindsey, DO Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 859 Winter St, Lucedale, MS 39452 Phone: 601-947-3161 |