Carmelita Upshaw, in Fort Defiance, AZ - Medicare Physical Therapist Provider

Carmelita Upshaw, is a medicare enrolled "Physical Therapist" provider in Fort Defiance, Arizona. Her current practice location is Corner Of Route N12/n7, Fort Defiance, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 729-3776.

Carmelita Upshaw is licensed to practice in Arizona (license number 8458) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558695130.

Contact Information

	Carmelita Upshaw,
	Corner Of Route N12/n7, Fort Defiance, AZ 86504-0649
	(928) 729-3776
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carmelita Upshaw
Gender	Female
Speciality	Physical Therapist
Location	Corner Of Route N12/n7, Fort Defiance, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558695130
Provider Enumeration Date: 09/29/2009
Last Update Date: 09/29/2009

Medicare PECOS Information:

PECOS PAC ID: 7416094347
Enrollment ID: I20091027000233

Medical Identifiers

Medical identifiers for Carmelita Upshaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558695130	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	8458 (Arizona)	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. Carmelita Upshaw allows following entities to bill medicare on her behalf.

Provider Name	The Fort Defiance Indian Hospital Board, Incorporation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1477876639 PECOS PAC ID: 0941336697 Enrollment ID: O20100429001153

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. Carmelita 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 Address	Practice Location Address
Carmelita Upshaw, Po Box 649, Fort Defiance, AZ 86504-0649 Ph: (928) 729-3776	Carmelita Upshaw, Corner Of Route N12/n7, Fort Defiance, AZ 86504-0649 Ph: (928) 729-3776

Reviews and Comments

Physical Therapist in Fort Defiance, AZ

Sarah Maria Berkenstock, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: N7, Corner Of Routes N12, Fort Defiance, AZ 86504 Phone: 928-729-8000
Robbie Whitehair, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance Indian Hospital Board, Inc., Fort Defiance, AZ 86504 Phone: 928-729-8810
Dr. Jonathan Thomas Keown, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Miss Deidrea Rose Salabye, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 Fax: 928-729-8814
Ms. Alana Marie Bencivengo, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: Corner Of Route 12 And 7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Derek Andrew Ray, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Mrs. Kathryn Elizabeth Jacques, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8132

Carmelita Upshaw, - Medicare Physical Therapist in Fort Defiance, AZ