Individual ProviderVinod JeyaretnamInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1500 Oglethorpe Ave, Athens, GA 30606-2179(706) 389-3860(706) 389-3875PECOS EnrollmentBased on the most recent information from CMS, provider Vinod Jeyaretnam is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 4:18 PM.Profile DetailsProvider ID1609526862Provider TypeIndividualFull NameJeyaretnam, VinodCredentialDOGenderMaleSole ProprietorNoEnumeration Date3/28/2022Last Updated7/26/2022Contact InformationPractice LocationPractice Address1500 Oglethorpe Ave, Athens, GA 30606-2179Phone(706) 389-3860FaxUnlisted FaxMailing LocationMailing Address1230 Baxter St, Athens, GA 30606-3712Phone(706) 389-3875Fax(706) 389-3861Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense13705GeorgiaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer