Thomas A Upshaw, Md, Pa - Medicare Mental Health Clinic in Mt Pleasant, SC

Thomas A Upshaw, Md, Pa is a medicare enrolled mental health clinic (Clinic/center - Adult Mental Health) in Mt Pleasant, South Carolina. The current practice location for Thomas A Upshaw, Md, Pa is 728 S Shelmore Blvd Ste 103, Mt Pleasant, South Carolina. For appointments, you can reach them via phone at (843) 972-0262. The mailing address for Thomas A Upshaw, Md, Pa is 1336 Newport Ct, Daniel Island, South Carolina and phone number is (843) 754-4655.

Thomas A Upshaw, Md, Pa is licensed to practice in South Carolina (license number 18101). The clinic also participates in the medicare program and its NPI number is 1669727566. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (843) 972-0262.

Contact Information

Thomas A Upshaw, Md, Pa
728 S Shelmore Blvd Ste 103
Mt Pleasant
SC 29464-1601
(843) 972-0262
(843) 972-0263

Map and Direction


Mental Health Clinic Profile

Full NameThomas A Upshaw, Md, Pa
SpecialityClinic/Center
Location728 S Shelmore Blvd Ste 103, Mt Pleasant, South Carolina
Authorized Official Name and PositionThomas A Upshaw (PRESIDENT)
Authorized Official Contact8437544655
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Thomas A Upshaw, Md, Pa
1336 Newport Ct
Daniel Island
SC 29492-8262

Ph: (843) 754-4655
Thomas A Upshaw, Md, Pa
728 S Shelmore Blvd Ste 103
Mt Pleasant
SC 29464-1601

Ph: (843) 972-0262

NPI Details:

NPI Number1669727566
Provider Enumeration Date07/17/2012
Last Update Date09/18/2023
Certification Date09/18/2023

Medicare PECOS Information:

Medicare PECOS PAC ID5799941688
Medicare Enrollment IDO20120720000458

Medical Identifiers

Medical identifiers for Thomas A Upshaw, Md, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669727566NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0850XClinic/center - Adult Mental Health 18101 (South Carolina)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Thomas A Upshaw, Md, Pa acts as a billing entity for following providers:
Provider NameThomas Arthur Upshaw
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1306002142
PECOS PAC ID: 4082694328
Enrollment ID: I20040726000681

Reviews and Comments

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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.