Dr Bradley George Upshaw, OD is a medicare enrolled "Optometrist" provider in Rodeo, California. He went to Southern California College Of Optometry and graduated in 1999 and has 25 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Bradley Upshaw Od Inc and his current practice location is
671 Parker Ave, Rodeo, California. You can reach out to his office (for appointments etc.) via phone at
(510) 799-4258.
Dr Bradley George Upshaw is licensed to practice in California (license number 11228T) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1992731335.
Healthcare Provider's Profile
| Full Name | Dr Bradley George Upshaw |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 25 Years |
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| Location | 671 Parker Ave, Rodeo, California |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Bradley George Upshaw attended and graduated from Southern California College Of Optometry in 1999
NPI Data:
- NPI Number: 1992731335
- Provider Enumeration Date: 06/25/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 2163437930
- Enrollment ID: I20090112000498
Medical Identifiers
Medical identifiers for Dr Bradley George Upshaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992731335 | NPI | - | NPPES |
| SD0112280 | Medicaid | CA | |
| 11228T | Other | CA | STATE OPTOMETRIC LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 11228T (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Bradley Upshaw Od Inc | 7618982489 | 2 |
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. Dr Bradley George Upshaw allows following entities to bill medicare on his behalf.
| Provider Name | Bradley Upshaw Od Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1821206020
PECOS PAC ID: 7618982489
Enrollment ID: O20090112000561 |
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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. Dr Bradley George Upshaw 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 |
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Dr Bradley George Upshaw, OD
671 Parker Ave,
Rodeo, CA 94572-1434
Ph: (510) 799-4258 | Dr Bradley George Upshaw, OD
671 Parker Ave,
Rodeo, CA 94572-1434
Ph: (510) 799-4258 |
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