Individual ProviderKristen KoconisRadiologyAllopathic & Osteopathic PhysiciansPractice Address100 N Academy Ave, Danville, PA 17822-2360(570) 271-6301(570) 271-6144PECOS EnrollmentBased on the most recent information from CMS, provider Kristen Koconis 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 3 days ago.Profile DetailsProvider ID1134346539Provider TypeIndividualFull NameKoconis, KristenCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date4/19/2007Last Updated8/10/2020Contact InformationPractice LocationPractice Address100 N Academy Ave, Danville, PA 17822-2360Phone(570) 271-6301Fax(570) 271-5976Mailing LocationMailing Address100 N Academy Ave, Danville, PA 17822-4903Phone(570) 271-6144Fax(570) 271-6578Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseMD439938Pennsylvania