Individual ProviderTroy Thomas BeckerCase Manager/Care CoordinatorOther Service ProvidersPractice Address1900 Brownstone Way, Shawnee, OK 74804-1843(405) 808-3330PECOS EnrollmentBased on the most recent information from CMS, provider Troy Thomas Becker 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 3 days ago.Profile DetailsProvider ID1144608563Provider TypeIndividualFull NameBecker, Troy ThomasTitleMr.GenderMaleSole ProprietorYesEnumeration Date5/18/2015Last Updated5/18/2015Contact InformationPractice LocationPractice Address1900 Brownstone Way, Shawnee, OK 74804-1843Phone(405) 808-3330FaxUnlisted FaxMailing LocationMailing Address1900 Brownstone Way, Shawnee, OK 74804-1843Phone(405) 808-3330FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer