OrganizationPain Management Associates, P.C.(<Unavail>)ChiropractorChiropractic ProvidersPractice Address8500 Broadway, Suite A, Merrillville, IN 46410-7055(219) 738-1925PECOS EnrollmentBased on the most recent information from CMS, provider Pain Management Associates, P.C. 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 2 days ago.Profile DetailsProvider ID1104017367Provider TypeOrganizationFull NamePain Management Associates, P.C.Other Name<Unavail>SubpartNoEnumeration Date8/5/2007Last Updated8/5/2007Contact InformationPractice LocationPractice Address8500 Broadway, Suite A, Merrillville, IN 46410-7055Phone(219) 738-1925Fax(219) 736-9456Mailing LocationMailing Address8500 Broadway, Suite A, Merrillville, IN 46410-7055Phone(219) 738-1925Fax(219) 736-9456Authorized OfficialNamePowell, Lynn Thomas (President)Phone(219) 738-1925Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense08001920AIndianaProvider IdentifiersIDDescriptionIssuerID000000093263DescriptionOtherIssuerBLUE CROSS BLUE SHIELDIndiana