John P Folkerts, DC
Individual provider Active NPI Chiropractor · Sherman, IL
NPI 1366424723 · NPPES record last updated May 14, 2008
Key facts
- NPI
- 1366424723
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 038008204 (IL)
- Practice address
- 420 S Crossing Dr
Sherman, IL 62684 - Phone
- (217) 496-3636
- Fax
- (217) 496-3838
- NPI assigned
- Nov 18, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
420 Crossing Dr
Sherman, IL 62684-9640
Phone (217) 496-3636
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080412000056 | IL | Practitioner - Chiropractic | 7618054818 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038008204 | IL | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038008204 | IL | Yes |
Addresses
Primary practice location
420 S Crossing Dr
Sherman, IL 62684
Mailing address
PO Box 380
420 S Crossing Dr
Sherman, IL 62684
Phone (217) 496-3636
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08408756 | Other | IL | BCBS |
| 350047581 | Other | IL | MEDICARE RAILROAD |
| 038008204 | Medicaid | IL |
Other providers in Sherman, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.