Look up the most recent NPI and PECOS records

Bethany D'Ann Igo

Counselor

Behavioral Health & Social Service Providers

2250 N Airport Rd, Weatherford, OK 73096-3351

PECOS Enrollment

This provider is enrolled in PECOS as BETHANY IGO.

Based on the most recent information from CMS, provider Bethany D'Ann Igo is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1760652788
Provider Type
Individual
Full Name
Igo, Bethany D'Ann
Title
Mrs.
Credential
M.ED

Gender
Female
Sole Proprietor
No
Enumeration Date
3/5/2008
Last Updated
10/6/2022

Contact Information

Practice Location

2250 N Airport Rd, Weatherford, OK 73096-3351

(405) 255-0706

Unlisted Fax

Mailing Location

1413 Saber Ln, Weatherford, OK 73096-2407

(405) 255-0706

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 0000000000 Oklahoma
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer

Bethany D'Ann Igo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Deleon, Joy L

Heart & Soul Professional Counseling Services, Inc.

Mahan, Cassie

Strickler, Laci

Krystin Turney, Llc

Scoville, Caleb M

Hunnicutt, Latrice W

Liebscher, Kimberly K

Christensen, Daris Laverne

Downs, Rachelle D'Fawn