Individual ProviderLilanthi BalasuriyaPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice AddressYale University Department Of Psychiatry, 300 George St, Suite 901, New Haven, CT 06511(203) 785-2095PECOS EnrollmentBased on the most recent information from CMS, provider Lilanthi Balasuriya is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1790917805Provider TypeIndividualFull NameBalasuriya, LilanthiTitleMissCredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date8/23/2009Last Updated10/4/2019Contact InformationPractice LocationPractice AddressYale University Department Of Psychiatry, 300 George St, Suite 901, New Haven, CT 06511Phone(203) 785-2095FaxUnlisted FaxMailing LocationMailing AddressYale University Department Of Psychiatry, 300 George St, Suite 901, New Haven, CT 06511Phone(203) 785-2095FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2084P0800XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicense61701ConnecticutCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer