| Jamaal Upshaw, PA | |
|
1595 E Main St, Prattville, AL 36066-5509 | |
| (334) 358-3070 | |
| (334) 358-3080 |
| Full Name | Jamaal Upshaw |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 1595 E Main St, Prattville, Alabama |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750609327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA 665 (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rhema Health And Wellness, Llc | 0840606885 | 3 |
| Entity Name | Jackson Hospital and Clinic, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073264107 PECOS PAC ID: 0547254153 Enrollment ID: O20040414000971 |
| Entity Name | Health Care Authority for Baptist Health, an Affiliate of Uabhs |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982653390 PECOS PAC ID: 8426076670 Enrollment ID: O20060220000538 |
| Entity Name | Signify Health LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210224000756 |
| Entity Name | Rhema Health and Wellness, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689265704 PECOS PAC ID: 0840606885 Enrollment ID: O20210317000296 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamaal Upshaw, PA 1595 E Main St, Prattville, AL 36066-5509 Ph: (334) 358-3070 | Jamaal Upshaw, PA 1595 E Main St, Prattville, AL 36066-5509 Ph: (334) 358-3070 |
Stacey L Whitaker, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2008 Wynfield Dr, Prattville, AL 36067 Phone: 208-391-7280 Fax: 534-202-4595 |
Tiffany Celeste Jones, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 744 E Main St, Prattville, AL 36067 Phone: 334-568-2273 Fax: 334-568-2274 |
Nicholas Brit Gerlach, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 124 S Memorial Dr, Prattville, AL 36067 Phone: 334-365-0651 |
Rebecca Lynn Mittelstadt, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 2709 Legends Pkwy, Prattville, AL 36066 Phone: 334-310-1117 |