Individual ProviderTamica WebsterCase Manager/Care CoordinatorOther Service ProvidersPractice Address36609 45th St, Shawnee, OK 74804-8882(405) 273-1170PECOS EnrollmentBased on the most recent information from CMS, provider Tamica Webster 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 ID1447670559Provider TypeIndividualFull NameWebster, TamicaGenderFemaleSole ProprietorYesEnumeration Date4/16/2014Last Updated4/8/2025Contact InformationPractice LocationPractice Address36609 45th St, Shawnee, OK 74804-8882Phone(405) 273-1170FaxUnlisted FaxMailing LocationMailing Address36609 45th St, Shawnee, OK 74804-8882Phone(405) 273-1170FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer