Individual ProviderAda LumpkinPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1969 W Ogden Ave, Chicago, IL 60612-3765(000) 000-0000PECOS EnrollmentBased on the most recent information from CMS, provider Ada Lumpkin is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1891110730Provider TypeIndividualFull NameLumpkin, AdaCredentialPA-CGenderFemaleSole ProprietorYesEnumeration Date3/1/2014Last Updated4/30/2021Contact InformationPractice LocationPractice Address1969 W Ogden Ave, Chicago, IL 60612-3765Phone(000) 000-0000FaxUnlisted FaxMailing LocationMailing Address1969 W Ogden Ave, Chicago, IL 60612-3765PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerIllinois