Stanley Upchurch, MD in Longview, TX - Medicare Emergency Medicine

Stanley Upchurch, MD is a medicare enrolled "Emergency Medicine" physician in Longview, Texas. His current practice location is 700 E Marshall Ave, Longview, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 315-2000.

Stanley Upchurch is licensed to practice in Texas (license number J5656) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083603021.

Contact Information

	Stanley Upchurch, MD
	700 E Marshall Ave, Longview, TX 75601-5580
	(903) 315-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Stanley Upchurch
Gender	Male
Speciality	Emergency Medicine
Location	700 E Marshall Ave, Longview, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083603021
Provider Enumeration Date: 10/20/2005
Last Update Date: 03/30/2018

Medicare PECOS Information:

PECOS PAC ID: 4880665835
Enrollment ID: I20040805000258

Medical Identifiers

Medical identifiers for Stanley Upchurch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083603021	NPI	-	NPPES
103947101	Medicaid	TX
103947109	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	J5656 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stanley Upchurch allows following entities to bill medicare on his behalf.

Entity Name	Acute Care Specialists
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740655273 PECOS PAC ID: 6800190364 Enrollment ID: O20160204000716

Entity Name	Northeast Texas Emergency Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114607611 PECOS PAC ID: 8527420306 Enrollment ID: O20230810001225

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stanley Upchurch is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Stanley Upchurch, MD 700 E Marshall Ave, Longview, TX 75601-5580 Ph: (903) 315-2000	Stanley Upchurch, MD 700 E Marshall Ave, Longview, TX 75601-5580 Ph: (903) 315-2000

Reviews and Comments

Emergency Medicine Doctors in Longview, TX

Jonathan J Kral, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000
Dr. Rhiana Dawn Ireland, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2901 N 4th St, Emergency Department, Longview, TX 75605 Phone: 903-232-3675 Fax: 903-232-8542
Matthew Porter, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2445 Fax: 903-315-5383
Gene Kelly, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2901 N 4th St, Longview, TX 75605 Phone: 903-232-3675
Faber A White, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2000
Nicole Sneed, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Marshall Ave, Longview, TX 75601 Phone: 903-315-2020

Stanley Upchurch, MD - Medicare Emergency Medicine in Longview, TX