Dr Thomas A Upshaw, MD - Medicare Psychiatry in Mount Pleasant, SC

Dr Thomas A Upshaw, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Mount Pleasant, South Carolina. He went to Emory University School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Psychiatry. His current practice location is 728 S Shelmore Blvd Ste 103, Mount Pleasant, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 972-0262.

Dr Thomas A Upshaw is licensed to practice in South Carolina (license number 18101) 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 1306002142.

Contact Information

Dr Thomas A Upshaw, MD
728 S Shelmore Blvd Ste 103,
Mount Pleasant, SC 29464-1601
(843) 972-0262
(843) 972-0263

Map and Direction




Physician's Profile

Full NameDr Thomas A Upshaw
GenderMale
SpecialityPsychiatry
Experience30 Years
Location728 S Shelmore Blvd Ste 103, Mount Pleasant, South Carolina
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 Thomas A Upshaw attended and graduated from Emory University School Of Medicine in 1994
  NPI Data:
  • NPI Number: 1306002142
  • Provider Enumeration Date: 07/31/2008
  • Last Update Date: 09/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4082694328
  • Enrollment ID: I20040726000681

Medical Identifiers

Medical identifiers for Dr Thomas A Upshaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306002142NPI-NPPES
181010MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 18101 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Hospice Of South CarolinaFlorence, SCHospice

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 Thomas A Upshaw allows following entities to bill medicare on his behalf.
Entity NameThomas A Upshaw Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669727566
PECOS PAC ID: 5799941688
Enrollment ID: O20120720000458

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 Thomas A 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
Dr Thomas A Upshaw, MD
728 S Shelmore Blvd Ste 103,
Mount Pleasant, SC 29464-1601

Ph: (843) 972-0262
Dr Thomas A Upshaw, MD
728 S Shelmore Blvd Ste 103,
Mount Pleasant, SC 29464-1601

Ph: (843) 972-0262

Reviews and Comments


Psychiatry & Neurology Doctors in Mount Pleasant, SC

Brittany B. Albright, MD, MPH
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 710 Johnnie Dodds Blvd Ste 200, Mount Pleasant, SC 29464
Phone: 843-800-1303    Fax: 888-316-7716
Andrea Broyles Hawk, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 409 Coleman Blvd, Suite 1-a, Mount Pleasant, SC 29464
Phone: 843-324-5503    
Dr. John M. Roberts, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 222 W Coleman Blvd, Mount Pleasant, SC 29464
Phone: 843-881-0455    Fax: 843-881-6878
Ms. Victoria Dawn Simpson, PMHNP
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 871 Lowcountry Blvd Ste 200, Mount Pleasant, SC 29464
Phone: 843-501-1099    
Sarah Dalechek, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 222 W Coleman Blvd Ste 119, Mount Pleasant, SC 29464
Phone: 843-900-1340    
Dr. Prentis Richard Gunter Sr., MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 2165 Country Manor Dr, Mount Pleasant, SC 29466
Phone: 843-327-4935    

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).

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