Individual ProviderLeah BoldenStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address12700 E 19th Avenue, Rc2, 9th Floor Box C272, Aurora, CO 80045(303) 724-6043PECOS EnrollmentBased on the most recent information from CMS, provider Leah Bolden 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 ID1689248908Provider TypeIndividualFull NameBolden, LeahCredentialMDGenderFemaleSole ProprietorYesEnumeration Date5/20/2021Last Updated7/1/2024Contact InformationPractice LocationPractice Address12700 E 19th Avenue, Rc2, 9th Floor Box C272, Aurora, CO 80045Phone(303) 724-6043FaxUnlisted FaxMailing LocationMailing Address12700 E 19th Avenue, Rc2, 9th Floor Box C272, Aurora, CO 80045Phone(303) 724-6043FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer