Krystal Dawn Upshaw, DPM is a medicare enrolled "Podiatrist" provider in Corning, Arkansas. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Bradley Bibb Md Pllc and her current practice location is
1300 Creason Rd, Corning, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 857-3399.
Krystal Dawn Upshaw is licensed to practice in Arkansas (license number 272) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285046896.
Healthcare Provider's Profile
| Full Name | Krystal Dawn Upshaw |
|---|
| Gender | Female |
|---|
| Speciality | Podiatry |
|---|
| Experience | 10 Years |
|---|
| Location | 1300 Creason Rd, Corning, Arkansas |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Krystal Dawn Upshaw graduated from medical school in 2014
NPI Data:
- NPI Number: 1285046896
- Provider Enumeration Date: 06/02/2014
- Last Update Date: 05/02/2019
Medicare PECOS Information:
- PECOS PAC ID: 8325342173
- Enrollment ID: I20171017000718
Medical Identifiers
Medical identifiers for Krystal Dawn Upshaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285046896 | NPI | - | NPPES |
| 224176717 | Medicaid | AR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 272 (Arkansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Bradley Bibb Md Pllc | 4789715285 | 38 |
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. Krystal Dawn Upshaw allows following entities to bill medicare on her behalf.
| Provider Name | 1st Choice Healthcare Inc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1942256508
PECOS PAC ID: 0648184218
Enrollment ID: O20100427000059 |
|---|
| Provider Name | Bradley Bibb Md Pllc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1699097436
PECOS PAC ID: 4789715285
Enrollment ID: O20100628000488 |
|---|
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. Krystal Dawn 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 |
|---|
Krystal Dawn Upshaw, DPM
Po Box 83,
Corning, AR 72422-0083
Ph: (870) 857-3334 | Krystal Dawn Upshaw, DPM
1300 Creason Rd,
Corning, AR 72422
Ph: (870) 857-3399 |
Reviews and Comments