Individual ProviderTiffany PayneLicensed Practical NurseNursing Service ProvidersPractice Address116 Charwood Cir, Rochester, NY 14609-2755(585) 481-3909PECOS EnrollmentBased on the most recent information from CMS, provider Tiffany Payne does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:33 PM.Profile DetailsProvider ID1609332667Provider TypeIndividualFull NamePayne, TiffanyGenderFemaleSole ProprietorYesEnumeration Date2/14/2019Last Updated2/14/2019Contact InformationPractice LocationPractice Address116 Charwood Cir, Rochester, NY 14609-2755Phone(585) 481-3909FaxUnlisted FaxMailing LocationMailing Address116 Charwood Cir, Rochester, NY 14609-2755Phone(585) 481-3909FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense308819New York