Polina Kokoulina, PA-C - Medicare Physician Assistant in Boise, ID

Polina Kokoulina, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Boise, Idaho. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Saint Alphonsus Regional Medical Center Inc and her current practice location is 900 N Liberty St, Ste 101, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 367-5050.

Polina Kokoulina is licensed to practice in Idaho (license number PA-1093) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013342468.

Contact Information

Polina Kokoulina, PA-C
900 N Liberty St, Ste 101,
Boise, ID 83704-8704
(208) 367-5050
(208) 367-5151

Map and Direction




Provider's Profile

Full NamePolina Kokoulina
GenderFemale
SpecialityPhysician Assistant
Experience11 Years
Location900 N Liberty St, Boise, Idaho
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Polina Kokoulina graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1013342468
  • Provider Enumeration Date: 09/04/2013
  • Last Update Date: 04/06/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4183859606
  • Enrollment ID: I20131108000316

Medical Identifiers

Medical identifiers for Polina Kokoulina such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013342468NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical PA-1093 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Alphonsus Regional Medical CenterBoise, IDHospital
Saint Alphonsus Medical Center - NampaNampa, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Saint Alphonsus Regional Medical Center Inc3476462359533

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Polina Kokoulina is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Polina Kokoulina, PA-C
3340 E Goldstone Way,
Meridian, ID 83642-1026

Ph: (208) 367-5050
Polina Kokoulina, PA-C
900 N Liberty St, Ste 101,
Boise, ID 83704-8704

Ph: (208) 367-5050

Reviews and Comments


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Phone: 208-336-8250    Fax: 208-345-9514

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.