Billy Wayne Copeland | Shawnee, OK • PECOS Search

Billy Wayne Copeland

Case Manager/Care Coordinator

Other Service Providers

2208 N Minnesota Ave, Shawnee, OK 74804-3029

PECOS Enrollment

Based on the most recent information from CMS, provider Billy Wayne Copeland 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
1225489818
Provider Type
Individual
Full Name
Copeland, Billy Wayne
Gender
Male

Sole Proprietor
Yes
Enumeration Date
6/25/2016
Last Updated
6/25/2016

Contact Information

Practice Location

2208 N Minnesota Ave, Shawnee, OK 74804-3029

Unlisted Fax

Mailing Location

2208 N Minnesota Ave, Shawnee, OK 74804-3029

Unlisted Fax

Provider Taxonomies

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