Individual ProviderIsabel FairmontStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address12631 E 17th Ave Ste B205, Aurora, CO 80045(303) 724-1965PECOS EnrollmentBased on the most recent information from CMS, provider Isabel Fairmont 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 today at 8:47 AM.Profile DetailsProvider ID1619473188Provider TypeIndividualFull NameFairmont, IsabelCredentialMDGenderFemaleSole ProprietorNoEnumeration Date4/3/2018Last Updated7/11/2018Contact InformationPractice LocationPractice Address12631 E 17th Ave Ste B205, Aurora, CO 80045Phone(303) 724-1965FaxUnlisted FaxMailing LocationMailing Address12631 E 17th Ave # Msb205, Aurora, CO 80045-2527Phone(303) 724-1965FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseTL.0007004Colorado