Eileen Geralyn Cejka, D.C.

Individual provider Active NPI Chiropractor · Maynard, MA

NPI 1003899568 · NPPES record last updated Mar 27, 2008

Key facts

NPI
1003899568
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
648 (MA)
Practice address
1 Pleasant St
Maynard, MA 01754-1360
Phone
(978) 897-8276
Fax
(978) 897-8825
NPI assigned
Nov 29, 2005
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Pleasant St
Maynard, MA 01754-1360
Phone (978) 897-8276

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20060501000184 MA Practitioner - Chiropractic 3870503287 Practice locations: Maynard, MA

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
648MAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Eileen Geralyn Cejka Chiropractor Past
since Jan 1, 1990
Accepting new patients
Walter a Murphy Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 648 MA Yes

Addresses

Primary practice location

1 Pleasant St
Maynard, MA 01754-1360

Mailing address

1 Pleasant St
Maynard, MA 01754-1360
Phone (978) 897-8276

Other identifiers

IdentifierTypeStateIssuer
1601563MedicaidMA
352223OtherMAHARVARD PILGRIM HEALTHPLA
705036OtherMATUFTS HEALTH PLAN
44-2000OtherMAUNITED HEALTHCARE
Y35448OtherMABLUE CROSS BLUE SHIELD ID

Other providers in Maynard, MA

All providers in Maynard, MA · Chiropractor in Massachusetts

Sources for this page

Verify at the official NPI Registry.