Individual ProviderSvetlana ZolotukhinaNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address6204 Balcones Dr, Austin, TX 78731-4214(512) 427-9400(972) 997-8000PECOS EnrollmentBased on the most recent information from CMS, provider Svetlana Zolotukhina 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 yesterday at 9:13 AM.Profile DetailsProvider ID1073897096Provider TypeIndividualFull NameZolotukhina, SvetlanaTitleMs.CredentialF.N.PGenderFemaleSole ProprietorNoEnumeration Date10/10/2011Last Updated6/10/2022Contact InformationPractice LocationPractice Address6204 Balcones Dr, Austin, TX 78731-4214Phone(512) 427-9400FaxUnlisted FaxMailing LocationMailing AddressPO Box 911230, Dallas, TX 75391-1230Phone(972) 997-8000Fax(972) 234-2987Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP120962TexasCode363L00000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP120962TexasProvider IdentifiersIDDescriptionIssuerID343950701DescriptionMedicaidIssuerUnlistedTexasIDP01868122DescriptionOtherIssuerRAILROADTexas