DR. GLEN T MATEJKA DN DC DACBN CCN
NPI 1366404568
Chiropractor in Crystal Lake, IL
NPI Status: Active since April 04, 2006
Contact Information
7105 VIRGINIA RD
SUITE 15
CRYSTAL LAKE, IL
ZIP 60014
Phone: (815) 455-4500
Fax: (815) 455-4529
- Individual
- Male
- Years of Experience 41
- Chiropractor
- Accepts Insurance
- Accepts Medicare Approved Payment
About GLEN MATEJKA
This page provides the complete NPI Profile along with additional information for Glen Matejka, a provider established in Crystal Lake, Illinois with a medical specialization in Chiropractor and more than 41 years of experience. He graduated from National College Of Chiropractic in 1985. The healthcare provider is registered in the NPI registry with number 1366404568 assigned on April 2006. The practitioner's primary taxonomy code is 111N00000X with license number 038007434 (IL). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1366404568
- Provider Name
- DR. GLEN T MATEJKA DN DC DACBN CCN
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 7105 VIRGINIA RD SUITE 15 CRYSTAL LAKE, IL 60014
- Location Phone
- (815) 455-4500
- Location Fax
- (815) 455-4529
- Mailing Address
- 7105 VIRGINIA RD SUITE 15 CRYSTAL LAKE, IL 60014
- Mailing Phone
- (815) 455-4500
- Mailing Fax
- (815) 455-4529
- Medical School Name
- NATIONAL COLLEGE OF CHIROPRACTIC
- Graduation Year
- 1985
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-04-2006
- Last Update Date
- 05-29-2008
- Code Navigator
A chiropractor like Glen Matejka 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.
- 038007434
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 111NN1001X | Chiropractic Providers | Chiropractor | 164003999 (IL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- 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
- Connect Bronze 2000 Indiv Med Deductible - HMO
- Connect Bronze 5000 Indiv Med Deductible - Rx Copay - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold CMS Standard - Rx Copay - HMO
- Connect Silver 3000 Indiv Med Deductible - Rx Copay - HMO
- Connect Silver CMS Standard - HMO
- UHC Bronze Copay Focus (No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value (Rx Copay, No Referrals) - HMO
- UHC Bronze Value+ (Rx Copay, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage (No Referrals) - HMO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus (No Referrals) - HMO
- UHC Gold Standard (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage+ (Rx Copay, Dental + Vision, No Referrals) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 341520 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL | |
| 05605168 | OTHER (01) | IL | BCBS IL |
| U48742 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
Glen Matejka 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: 3870674484
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: I20080121000107
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 | 4 | 0 | 4 | 5 | 6 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 8 | 0 | 8 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 8 + 0 + 8 + 5 + 1 + 2 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1366404568 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1366783797 | ACE THERAPY SERVICES OF ILLINOIS, INC. Organization | Clinic/Center (Physical Therapy) | 7105 VIRGINIA RD SUITE 10 CRYSTAL LAKE, IL 60014 (815) 219-7308 |
| 1922498948 | HEALTH EXP Organization | Home Health | 7105 VIRGINIA RD STE 10 CRYSTAL LAKE, IL 60014 (847) 312-2159 |
| 1841334406 | DYNAMIC FAMILY HEALTH CTR LTD Organization | Chiropractor | 7105 VIRGINIA RD ST 24 CRYSTAL LAKE, IL 60014 (815) 477-8844 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366404568, enumerated in the NPI registry as an "individual" on April 04, 2006
The provider is located at 7105 Virginia Rd Suite 15 Crystal Lake, Il 60014 and the phone number is (815) 455-4500
The provider's speciality is Chiropractor with taxonomy code 111N00000X
The provider has more than 41 years of experience. He graduated from National College Of Chiropractic in 1985.
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. 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 April 04, 2006. 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].
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