Individual ProviderPolina KotoniNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address926 Main St, Nashville, TN 37206-3614(615) 436-9060PECOS EnrollmentBased on the most recent information from CMS, provider Polina Kotoni 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 6 days ago.Profile DetailsProvider ID1558932269Provider TypeIndividualFull NameKotoni, PolinaTitleMs.CredentialNPGenderFemaleSole ProprietorYesEnumeration Date7/3/2021Last Updated8/26/2024Contact InformationPractice LocationPractice Address926 Main St, Nashville, TN 37206-3614Phone(615) 436-9060Fax(615) 235-9725Mailing LocationMailing Address77 Pond Ave Apt 411, Brookline, MA 02445-7113PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN270284MassachusettsCode163WH0200XDescriptionRegistered NurseNursing Service ProvidersLicenseRN270284Massachusetts