Jenica Upshaw
Medical Specialty
Professional ID
- NPI: 1295994820
- PECOS ID: 3971730250
- Enrollment ID: I20131211001613
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2008
Hospital Service
- Hospital CCN1: 220116
- Business Name (LBN)1: Tufts Medical Center
- Hospital CCN2: 220063
- Business Name (LBN)2: Lowell General Hospital
- Hospital CCN3: 220070
- Business Name (LBN)3: Hallmark Health System
- Hospital CCN4: 220008
- Business Name (LBN)4: Sturdy Memorial Hospital
- Hospital CCN5: 220100
- Business Name (LBN)5: South Shore Hospital
Medical Practices
- Organization Name: Pratt Medical Group, Inc
- Group Practice ID assigned by PECOS: 3375515661
- Number of Group Practice member: 264
Location
- Address1: 800 Washington St
- Address2:
- City: Boston
- State: Massachusetts
- Zip Code: 02111
- Phone Number: (617)636-5000
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR): Yes