Teresa Ann Lewis, D.C.
Individual provider Active NPI Chiropractor · Cicero, IN
NPI 1366470668 · NPPES record last updated Nov 17, 2009
Key facts
- NPI
- 1366470668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 08001594 (IN)
- Practice address
- 209 S Peru St
Cicero, IN 46034-9687 - Phone
- (317) 984-3578
- Fax
- (317) 984-3410
- NPI assigned
- Jun 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cicero Chiropractic Inc.
Practice addresses (Care Compare)
209 S Peru St
Cicero, IN 46034-9687
Phone (317) 984-3578
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040128000608 | IN | Practitioner - Chiropractic | 8527961515 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cicero Chiropractic Inc. | Chiropractor | Current |
Accepting new patients |
Locations
209 S Peru St
Cicero, IN 46034
Phone (317) 984-3578
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08001594 | IN | Yes |
Addresses
Primary practice location
209 S Peru St
Cicero, IN 46034-9687
Mailing address
209 S Peru St
Cicero, IN 46034-9687
Phone (317) 984-3578
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200161260-A | Medicaid | IN |
Other names
- Dr. Teresa Ann McConnell
Other providers in Cicero, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2009. 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.