Emily C Skidmore | Shawnee, OK • PECOS Search

Emily C Skidmore

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 Emily C Skidmore 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
1164154761
Provider Type
Individual
Full Name
Skidmore, Emily C
Gender
Female

Sole Proprietor
No
Enumeration Date
6/30/2022
Last Updated
6/30/2022

Contact Information

Practice Location

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

Unlisted Fax

Mailing Location

201 W Franklin St, Shawnee, OK 74804-3511

Unlisted Fax

Provider Taxonomies

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