Individual ProviderHomayoon LodeenInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4500 Parsons Blvd, Flushing, NY 11355-2205(718) 206-6768(346) 269-8551PECOS EnrollmentBased on the most recent information from CMS, provider Homayoon Lodeen is legally eligible to order and refer claims for Part B, HHA and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1730764416Provider TypeIndividualFull NameLodeen, HomayoonCredentialMDGenderMaleSole ProprietorNoEnumeration Date3/14/2021Last Updated12/18/2024Contact InformationPractice LocationPractice Address4500 Parsons Blvd, Flushing, NY 11355-2205Phone(718) 206-6768Fax(718) 206-6651Mailing LocationMailing Address2200 Old Quacco Rd Apt 3300, Pooler, GA 31322-0615Phone(346) 269-8551FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA195104California