Gavin Zane Yoesting | Shawnee, OK • PECOS Search

Gavin Zane Yoesting

Case Manager/Care Coordinator

Other Service Providers

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

(405) 273-1170 (405) 496-7364

PECOS Enrollment

Based on the most recent information from CMS, provider Gavin Zane Yoesting 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
1225725484
Provider Type
Individual
Full Name
Yoesting, Gavin Zane
Title
Mr.

Gender
Male
Sole Proprietor
No
Enumeration Date
4/19/2023
Last Updated
4/19/2023

Contact Information

Practice Location

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

Unlisted Fax

Mailing Location

20000 SE 104th St, Newalla, OK 74857-8034

Unlisted Fax

Provider Taxonomies

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