Individual ProviderKiana YazdifardPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address300 Stafford St Ste 200, Springfield, MA 01104-3581(516) 524-8308PECOS EnrollmentBased on the most recent information from CMS, provider Kiana Yazdifard 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 yesterday at 11:47 AM.Profile DetailsProvider ID1205353711Provider TypeIndividualFull NameYazdifard, KianaTitleMissCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date8/25/2017Last Updated8/29/2017Contact InformationPractice LocationPractice Address300 Stafford St Ste 200, Springfield, MA 01104-3581Phone(516) 524-8308FaxUnlisted FaxMailing LocationMailing Address2 Perkins Sq Apt 9, Jamaica Plain, MA 02130-1708Phone(516) 524-8308FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363AM0700XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer