Dr Upton Thomas, MD - Medicare Psychiatry in Wauwatosa, WI

Dr Upton Thomas, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Wauwatosa, Wisconsin. He went to Medical College Of Wisconsin and graduated in 2000 and has 24 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Rogers Memorial Hospital, Inc. and his current practice location is 1220 Dewey Ave, Wauwatosa, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 454-6754.

Dr Upton Thomas is licensed to practice in Wisconsin (license number 01367) 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 1013947696.

Contact Information

Dr Upton Thomas, MD
1220 Dewey Ave,
Wauwatosa, WI 53213-2504
(414) 454-6754
(414) 454-6789

Map and Direction




Physician's Profile

Full NameDr Upton Thomas
GenderMale
SpecialityPsychiatry
Experience24 Years
Location1220 Dewey Ave, Wauwatosa, Wisconsin
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Upton Thomas attended and graduated from Medical College Of Wisconsin in 2000
  NPI Data:
  • NPI Number: 1013947696
  • Provider Enumeration Date: 07/03/2006
  • Last Update Date: 08/29/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 8729047568
  • Enrollment ID: I20041007000013

Medical Identifiers

Medical identifiers for Dr Upton Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013947696NPI-NPPES
34569200MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 01367 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rogers Memorial Hospital, Inc.347645580933

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 Upton Thomas allows following entities to bill medicare on his behalf.
Entity NameRogers Memorial Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053329581
PECOS PAC ID: 3476455809
Enrollment ID: O20040124000371

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 Upton Thomas 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 AddressPractice Location Address
Dr Upton Thomas, MD
1220 Dewey Ave,
Wauwatosa, WI 53213-2504

Ph: (414) 454-6754
Dr Upton Thomas, MD
1220 Dewey Ave,
Wauwatosa, WI 53213-2504

Ph: (414) 454-6754

Reviews and Comments


Psychiatry & Neurology Doctors in Wauwatosa, WI

Bernadette Demuri, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 2600 N Mayfair Rd, Suite #305, Wauwatosa, WI 53226
Phone: 414-257-0233    Fax: 414-257-3588
Dr. Ashok R Bedi, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213
Phone: 414-454-6610    Fax: 414-454-6644
Michael Fuller Mcbride, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213
Phone: 414-454-6610    Fax: 414-454-6644
Dr. Niketa Desai, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213
Phone: 414-454-6777    
Justin Sandver, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213
Phone: 414-454-6707    Fax: 414-454-6747
Dr. Namita Dhiman,
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 1220 Dewey Ave, Wauwatosa, WI 53213
Phone: 414-773-4312    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.