Individual ProviderMark LandyStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address12631 East 17th Avenue, Mailstop 8202, Aurora, CO 80045(303) 724-7494PECOS EnrollmentBased on the most recent information from CMS, provider Mark Landy is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 8:47 AM.Profile DetailsProvider ID1427751932Provider TypeIndividualFull NameLandy, MarkTitleDr.CredentialMD, PHDGenderMaleSole ProprietorNoEnumeration Date3/23/2023Last Updated4/22/2023Contact InformationPractice LocationPractice Address12631 East 17th Avenue, Mailstop 8202, Aurora, CO 80045Phone(303) 724-7494FaxUnlisted FaxMailing LocationMailing Address12631 East 17th Avenue, Mailstop 8202, Aurora, CO 80045Phone(303) 724-7494FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer