Dr Edwin Joseph Upton, MD - Medicare Pediatrics in Dayton, TX

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Dr Edwin Joseph Upton, MD is a medicare enrolled "Pediatrics" physician in Dayton, Texas. His current practice location is 107 Bryan St, Dayton, Texas. You can reach out to his office (for appointments etc.) via phone at (936) 258-4600.

Dr Edwin Joseph Upton is licensed to practice in Texas (license number H2859) 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 1932130440.

Contact Information

Dr Edwin Joseph Upton, MD
107 Bryan St,
Dayton, TX 77535-2661
(936) 258-4600
(936) 258-4603

Map and Direction




Physician's Profile

Full NameDr Edwin Joseph Upton
GenderMale
SpecialityPediatrics
Location107 Bryan St, Dayton, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1932130440
  • Provider Enumeration Date: 07/05/2006
  • Last Update Date: 01/10/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3375508492
  • Enrollment ID: I20041130000735

Medical Identifiers

Medical identifiers for Dr Edwin Joseph Upton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932130440NPI-NPPES
139422318MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine H2859 (Texas)Secondary
208000000XPediatrics H2859 (Texas)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. Dr Edwin Joseph Upton allows following entities to bill medicare on his behalf.
Entity NameE Joseph Upton, Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306027016
PECOS PAC ID: 7911944574
Enrollment ID: O20050414000738

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 Edwin Joseph 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 AddressPractice Location Address
Dr Edwin Joseph Upton, MD
107 Bryan St,
Dayton, TX 77535-2661

Ph: (936) 258-4600		Dr Edwin Joseph Upton, MD
107 Bryan St,
Dayton, TX 77535-2661

Ph: (936) 258-4600

Reviews and Comments


Pediatrics Doctors in Dayton, TX

Mrs. Shemeka Joyce Banger-hill, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 205 N Main St, Dayton, TX 77535
Phone: 936-258-5644    Fax: 936-258-7292
Dr. Socorro Aggabao Talosig, PEDIATRICS
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 402 S Winfree St, Dayton, TX 77535
Phone: 936-258-2624    Fax: 936-258-2488

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.