Individual ProviderYamini PatibandlaStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045(303) 724-2052PECOS EnrollmentBased on the most recent information from CMS, provider Yamini Patibandla 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 ID1497442412Provider TypeIndividualFull NamePatibandla, YaminiCredentialMDGenderFemaleSole ProprietorNoEnumeration Date4/19/2023Last Updated4/19/2023Contact InformationPractice LocationPractice Address12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045Phone(303) 724-2052FaxUnlisted FaxMailing LocationMailing Address12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer