Individual provider Active NPI

Gail Ann Meese, D.C.

  • Chiropractor
  • Belleville, IL
National Provider Identifier
1861598393
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038-010779 Issued in IL
Practice address
3720 Rhetts LNDG
Belleville, IL 62221-0414
Phone
(618) 234-6000
Fax
(618) 234-6009
NPI assigned
Sep 15, 2006
Last updated
Jul 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038-010779 IL Primary

Addresses

Primary practice location

3720 Rhetts LNDG
Belleville, IL 62221-0414

Mailing address

3720 Rhetts LNDG
Belleville, IL 62221-0414
Phone (618) 234-6000

Other identifiers 5

IdentifierTypeStateIssuer
08232215OtherILBLUE CROSS BLUE SHIELD
8557360OtherILCIGNA PPO
7821832OtherILAETNA
769760OtherILHEALTHLINK
1068318OtherILCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061102000128 IL Practitioner - Chiropractic 2163429218 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage Family Chiropractic LLCGroup PAC ID 3870590920, 2 clinicians

Practice addresses (Care Compare)

18 Emerald Ter
Swansea, IL 62226-2321
Phone (618) 234-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038-010779ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Family Chiropractic LLC Chiropractor CurrentSince Oct 1, 2006 Accepting new patients
Wallace P Berkowitz MD LTD Past Accepting new patients

Locations

18 Emerald Ter
Swansea, IL 62226
Phone (618) 234-4010

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1861598393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 RHETTS LNDG",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622210414",
            "telephone_number": "618-234-6000",
            "fax_number": "618-234-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 RHETTS LNDG",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622210414",
            "telephone_number": "618-234-6000",
            "fax_number": "618-234-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEESE",
        "first_name": "GAIL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-010779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08232215",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO",
            "identifier": "8557360",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7821832",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "769760",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1068318",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.