Dr John H Upshaw Jr, MD - Medicare Urology in Lake Charles, LA

Dr John H Upshaw Jr, MD is a medicare enrolled "Urology" physician in Lake Charles, Louisiana. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 1997 and has 27 years of diverse experience with area of expertise as Urology. He is a member of the group practice Lake Charles Medical Services Urology Llc and his current practice location is 2770 3rd Ave Ste 240, Lake Charles, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 494-4656.

Dr John H Upshaw Jr is licensed to practice in Louisiana (license number MD.023910.R) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1598770869.

Contact Information

Dr John H Upshaw Jr, MD
2770 3rd Ave Ste 240,
Lake Charles, LA 70601-8994
(337) 494-4656
(337) 494-4657

Map and Direction




Physician's Profile

Full NameDr John H Upshaw Jr
GenderMale
SpecialityUrology
Experience27 Years
Location2770 3rd Ave Ste 240, Lake Charles, Louisiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr John H Upshaw Jr attended and graduated from Louisiana State University School Of Medicine In New Orleans in 1997
  NPI Data:
  • NPI Number: 1598770869
  • Provider Enumeration Date: 07/29/2006
  • Last Update Date: 04/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9931202652
  • Enrollment ID: I20070316000211

Medical Identifiers

Medical identifiers for Dr John H Upshaw Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598770869NPI-NPPES
MD.023910.ROtherLASTATE MEDICAL LICENSE
1577731MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology MD.023910.R (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lake Charles Memorial HospitalLake charles, LAHospital
Christus Ochsner St Patrick HospitalLake charles, LAHospital
West Calcasieu Cameron HospitalSulphur, LAHospital
Beauregard Memorial HospitalDeridder, LAHospital
Jennings American Legion HospitalJennings, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lake Charles Medical Services Urology Llc42847380634

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 John H Upshaw Jr allows following entities to bill medicare on his behalf.
Entity NameLake Charles Medical Services Urology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558491803
PECOS PAC ID: 4284738063
Enrollment ID: O20070404000154

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 John H Upshaw Jr 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 John H Upshaw Jr, MD
Po Box 122525 Dept 2525,
Dallas, TX 75312-0001

Ph: (337) 494-2921
Dr John H Upshaw Jr, MD
2770 3rd Ave Ste 240,
Lake Charles, LA 70601-8994

Ph: (337) 494-4656

Reviews and Comments


Urology Doctors in Lake Charles, LA

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Stacy Mcbroom, DO
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Reed A Fontenot Jr., MD
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Phone: 337-477-8861    Fax: 337-477-3092

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.