Rebecca Long | Shawnee, OK • PECOS Search

Rebecca Long

Case Manager/Care Coordinator

Other Service Providers

1010 E 45th St, Shawnee, OK 74804-2202

PECOS Enrollment

Based on the most recent information from CMS, provider Rebecca Long does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1104186410
Provider Type
Individual
Full Name
Long, Rebecca
Gender
Female

Sole Proprietor
No
Enumeration Date
5/21/2012
Last Updated
5/21/2012

Contact Information

Practice Location

1010 E 45th St, Shawnee, OK 74804-2202

Unlisted Fax

Mailing Location

1010 E 45th St, Shawnee, OK 74804-2202

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171M00000X Primary	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer