| Stacy A Upshaw, MD | |
|
859 Winter St, Lucedale, MS 39452-6603 | |
| (601) 947-3161 | |
| (601) 947-9948 |
| Full Name | Stacy A Upshaw |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 32 Years |
| Location | 859 Winter St, Lucedale, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710998018 | NPI | - | NPPES |
| 0125729 | Medicaid | MS | |
| 9935004 | Other | AL | ALABAMA MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 18212 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Greater Mobile Urgent Care | 1456429281 | 34 |
| Gmuc Of Springhill Llc | 6901091156 | 23 |
| Gmuc Of Saraland | 8820211436 | 21 |
| Entity Name | Greater Mobile Urgent Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801063938 PECOS PAC ID: 1456429281 Enrollment ID: O20081007000622 |
| Entity Name | Gmuc Of Springhill Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952617508 PECOS PAC ID: 6901091156 Enrollment ID: O20101112000731 |
| Entity Name | Gmuc Of Citronelle Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164794343 PECOS PAC ID: 8426210014 Enrollment ID: O20120426000475 |
| Entity Name | Gmuc Of Saraland |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396161758 PECOS PAC ID: 8820211436 Enrollment ID: O20140529002160 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy A Upshaw, MD 859 Winter St, Lucedale, MS 39452-6603 Ph: (601) 947-3161 | Stacy A Upshaw, MD 859 Winter St, Lucedale, MS 39452-6603 Ph: (601) 947-3161 |
Benjamin A. Marble, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 859 Winter St, Lucedale, MS 39452 Phone: 601-766-4212 | |
Reese G Lindsey, DO Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 859 Winter St, Lucedale, MS 39452 Phone: 601-947-3161 |