Stephen Upton, is a medicare enrolled "Nurse Practitioner" in Leon, West Virginia. His current practice location is
27353 Charleston Rd, Leon, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 812-4548.
Stephen Upton is licensed to practice in West Virginia (license number APRN73115-FNP-BC) 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 1760808232.
Provider's Profile
| Full Name | Stephen Upton |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Location | 27353 Charleston Rd, Leon, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1760808232
- Provider Enumeration Date: 03/08/2014
- Last Update Date: 04/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 6406165091
- Enrollment ID: I20151022000276
Medical Identifiers
Medical identifiers for Stephen Upton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760808232 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | APRN73115-FNP-BC (West Virginia) | 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. Stephen Upton allows following entities to bill medicare on his behalf.
| Entity Name | Leon Health Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639556665
PECOS PAC ID: 5597074187
Enrollment ID: O20151022000145 |
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| Entity Name | Signify Health Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191206001144 |
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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. Stephen Upton 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 |
|---|
Stephen Upton,
265 Tribble Rd,
Leon, WV 25123-9209
Ph: () - | Stephen Upton,
27353 Charleston Rd,
Leon, WV 25123-9209
Ph: (304) 812-4548 |
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