Individual ProviderBethany Ann SumpterCase Manager/Care CoordinatorOther Service ProvidersPractice Address1201 Terminal Way Ste 217, Reno, NV 89502-3258(775) 624-8200PECOS EnrollmentBased on the most recent information from CMS, provider Bethany Ann Sumpter does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1033762125Provider TypeIndividualFull NameSumpter, Bethany AnnGenderFemaleSole ProprietorNoEnumeration Date7/18/2019Last Updated7/18/2019Contact InformationPractice LocationPractice Address1201 Terminal Way Ste 217, Reno, NV 89502-3258Phone(775) 624-8200FaxUnlisted FaxMailing LocationMailing Address1201 Terminal Way Ste 217, Reno, NV 89502-3258Phone(775) 624-8200FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1992134472DescriptionMedicaidIssuerUnlistedNevada