Individual ProviderAdriana PolisanoFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address700 High St, Williamsport, PA 17701-3100(570) 321-2850PECOS EnrollmentBased on the most recent information from CMS, provider Adriana Polisano 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 2 days ago.Profile DetailsProvider ID1962931774Provider TypeIndividualFull NamePolisano, AdrianaGenderFemaleSole ProprietorNoEnumeration Date6/6/2017Last Updated5/24/2021Contact InformationPractice LocationPractice Address700 High St, Williamsport, PA 17701-3100Phone(570) 321-2850FaxUnlisted FaxMailing LocationMailing Address700 High St, Williamsport, PA 17701-3100PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseMD472141Pennsylvania