Dan A Mefford, D.C.
Individual provider Active NPI Chiropractor · Pittsfield, IL
NPI 1366477994 · NPPES record last updated Apr 28, 2009
Key facts
- NPI
- 1366477994
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 38-003654 (IL)
- Practice address
- 813 W Washington St
Pittsfield, IL 62363-1353 - Phone
- (217) 285-5641
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
813 W Washington St
Pittsfield, IL 62363-1353
Phone (217) 285-5641
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050606001069 | IL | Practitioner - Chiropractic | 7416990932 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38-003654 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mefford Chiropractic Center | Chiropractor | Current |
Accepting new patients |
| Heartland Chiropractic LTD | Chiropractor | Past |
Accepting new patients |
Locations
813 W Washington St
Pittsfield, IL 62363
Phone (217) 285-5641
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38-003654 | IL | Yes |
Addresses
Primary practice location
813 W Washington St
Pittsfield, IL 62363-1353
Mailing address
813 W Washington St
P.O. Box 7
Pittsfield, IL 62363-1353
Phone (217) 285-5641
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022174 | Other | IL | HEALTH ALLICANCE |
| 371078387 | Other | IL | PRIVATE HEALTHCARE SYSTEM |
| 651978 | Other | IL | ACN |
| 371078387 | Other | IL | MULTI PLAN |
| 0998215 | Other | IL | BLUE CROSS BLUE SHIELD |
| 371078387 | Other | IL | INTEGRATED HEALTH PLAN |
| 731194 | Other | IL | HEALTHLINK |
Other providers in Pittsfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 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.