Individual ProviderManuel MateusChiropractorChiropractic ProvidersPractice Address309 W Millbrook Rd Ste 199, Raleigh, NC 27609-4394(919) 788-8881PECOS EnrollmentBased on the most recent information from CMS, provider Manuel Mateus does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:51 AM.Profile DetailsProvider ID1104096338Provider TypeIndividualFull NameMateus, ManuelTitleDr.CredentialD.C.GenderMaleSole ProprietorNoEnumeration Date3/4/2008Last Updated1/22/2009Contact InformationPractice LocationPractice Address309 W Millbrook Rd Ste 199, Raleigh, NC 27609-4394Phone(919) 788-8881Fax(919) 788-8818Mailing LocationMailing Address309 W Millbrook Rd Ste 199, Raleigh, NC 27609-4394Phone(919) 788-8881Fax(919) 788-8818Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense3833North CarolinaProvider IdentifiersIDDescriptionIssuerID1316086366DescriptionOtherIssuerGROUP NPINorth CarolinaID0859NDescriptionOtherIssuerBCBSNorth CarolinaID2346483DescriptionOtherIssuerMEDICARE GROUPNorth CarolinaID509255DescriptionMedicaidIssuerUnlistedNorth CarolinaID790201UDescriptionOtherIssuerMEDICAID GROUPNorth CarolinaID562092690DescriptionOtherIssuerTAX IDNorth CarolinaID0201UDescriptionOtherIssuerBCBS GROUPNorth Carolina