John Upshaw, LISW - Medicare Clinical Social Worker in Cedar Falls, IA

John Upshaw, LISW is a medicare enrolled "Social Worker - Clinical" provider in Cedar Falls, Iowa. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Covenant Medical Center Inc and his current practice location is 2802 Orchard Dr, Cedar Falls, Iowa. You can reach out to his office (for appointments etc.) via phone at (319) 268-9700.

John Upshaw is licensed to practice in Iowa (license number 5588) 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 1225066673.

Contact Information

John Upshaw, LISW
2802 Orchard Dr,
Cedar Falls, IA 50613-5898
(319) 268-9700
(319) 268-1934

Map and Direction




Healthcare Provider's Profile

Full NameJohn Upshaw
GenderMale
SpecialityClinical Social Worker
Experience26 Years
Location2802 Orchard Dr, Cedar Falls, Iowa
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:
  • John Upshaw graduated from medical school in 1998
  NPI Data:
  • NPI Number: 1225066673
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 07/17/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0143418442
  • Enrollment ID: I20110103000070

Medical Identifiers

Medical identifiers for John Upshaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225066673NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 5588 (Iowa)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Covenant Medical Center Inc0244148732211

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. John Upshaw allows following entities to bill medicare on his behalf.
Entity NameCovenant Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548288160
PECOS PAC ID: 0244148732
Enrollment ID: O20031111000534

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. John 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 AddressPractice Location Address
John Upshaw, LISW
2101 Kimball Ave, Ll14,
Waterloo, IA 50702-5063

Ph: (319) 272-1590
John Upshaw, LISW
2802 Orchard Dr,
Cedar Falls, IA 50613-5898

Ph: (319) 268-9700

Reviews and Comments


Social Worker in Cedar Falls, IA

Bailey Steffen,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 604 Clay St, Cedar Falls, IA 50613
Phone: 319-486-1845    
David Franklin Combs, LISW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1824 W 8th St, Cedar Falls, IA 50613
Phone: 319-277-0992    
Dawn Marie O'regan, MSW, LISW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 324 W 3rd St, Cedar Falls, IA 50613
Phone: 319-277-4383    Fax: 319-268-2207
Rachael Elizabeth Jorgensen, LISW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 215 Franklin St, Cedar Falls, IA 50613
Phone: 319-260-2287    
Joyce E Riker, LISW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 2012 Park Dr, Cedar Falls, IA 50613
Phone: 319-243-8290    Fax: 319-865-3110
Andrea Lenae Lansing, LISW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 215 Franklin St, Cedar Falls, IA 50613
Phone: 319-332-2816    Fax: 319-575-6066

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.