Michael Joe Presley | Shawnee, OK • PECOS Search

Michael Joe Presley

Case Manager/Care Coordinator

Other Service Providers

36609 45th St, Shawnee, OK 74804-8882

(405) 273-1103 (405) 273-1170

PECOS Enrollment

Based on the most recent information from CMS, provider Michael Joe Presley 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
1104533975
Provider Type
Individual
Full Name
Presley, Michael Joe
Gender
Male

Sole Proprietor
No
Enumeration Date
11/1/2022
Last Updated
3/11/2025

Contact Information

Practice Location

36609 45th St, Shawnee, OK 74804-8882

Unlisted Fax

Mailing Location

36609 45th St, Shawnee, OK 74804-8882

Unlisted Fax

Provider Taxonomies

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