MADISON ELAINE STEWART DC
NPI 1366201287
Chiropractor in Germantown Hills, IL
NPI Status: Active since March 14, 2024
Contact Information
387 OLD GERMANTOWN RD
GERMANTOWN HILLS, IL
ZIP 61548
Phone: (309) 383-2772
Fax: (309) 383-2773
- Individual
- Female
- Years of Experience 2
- Chiropractor
- Accepts Insurance
- Accepts Medicare Approved Payment
About MADISON STEWART
This page provides the complete NPI Profile along with additional information for Madison Stewart, a provider established in Germantown Hills, Illinois with a medical specialization in Chiropractor and more than 2 years of experience. The healthcare provider is registered in the NPI registry with number 1366201287 assigned on March 2024. The practitioner's primary taxonomy code is 111N00000X with license number 038.14142 (IL). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1366201287
- Provider Name
- MADISON ELAINE STEWART DC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 387 OLD GERMANTOWN RD GERMANTOWN HILLS, IL 61548
- Location Phone
- (309) 383-2772
- Location Fax
- (309) 383-2773
- Mailing Address
- 6135 N KNOLL AIRE DR PEORIA, IL 61614
- Mailing Phone
- (309) 299-4192
- Medical School Name
- OTHER
- Graduation Year
- 2024
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-14-2024
- Last Update Date
- 03-14-2024
- Code Navigator
A chiropractor like Madison Stewart helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Chiropractor
- Taxonomy Code
- 111N00000X
- Type
- Chiropractic Providers
- License No.
- 038.14142
- License State
- IL
- Taxonomy Description
- A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Madison Stewart is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 2163965021
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240619002158
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 6 | 6 | 2 | 0 | 1 | 2 | 8 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 4 | 0 | 2 | 2 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 4 + 0 + 2 + 2 + 1 + 6 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1366201287 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1063561322 | TIMOTHY WAYNE KAUFMAN D.C. Individual | Chiropractor | 387 OLD GERMANTOWN RD METAMORA, IL 61548 (309) 383-2772 |
| 1528119757 | NATHAN WILLIAM PORRITT D.C. Individual | Chiropractor | 387 OLD GERMANTOWN RD METAMORA, IL 61548 (309) 383-2772 |
| 1932744927 | DR. BRENT RASSI DC Individual | Chiropractor | 387 OLD GERMANTOWN RD GERMANTOWN HILLS, IL 61548 (309) 383-2772 |
| 1740497957 | KAUFMAN WELLNESS CENTER, LTD Organization | Chiropractor | 387 OLD GERMANTOWN RD METAMORA, IL 61548 (309) 383-2772 |
| 1518334929 | PAIGE FRENETTE Individual | Chiropractor | 387 OLD GERMANTOWN RD GERMANTOWN HILLS, IL 61548 (309) 383-2772 |
| 1154164994 | EMILY MANGOLD DPT Individual | Physical Therapist | 387 OLD GERMANTOWN RD GERMANTOWN HILLS, IL 61548 (309) 383-2772 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366201287, enumerated in the NPI registry as an "individual" on March 14, 2024
The provider is located at 387 Old Germantown Rd Germantown Hills, Il 61548 and the phone number is (309) 383-2772
The provider's speciality is Chiropractor with taxonomy code 111N00000X
The provider has more than 2 years of experience.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on March 14, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.