Individual ProviderShantora OyeneyinSocial WorkerBehavioral Health & Social Service ProvidersPractice Address11828 Canon Blvd Ste E, Newport News, VA 23606-2554(757) 782-4070PECOS EnrollmentBased on the most recent information from CMS, provider Shantora Oyeneyin is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1831529130Provider TypeIndividualFull NameOyeneyin, ShantoraGenderFemaleSole ProprietorNoEnumeration Date11/22/2013Last Updated2/2/2026Contact InformationPractice LocationPractice Address11828 Canon Blvd Ste E, Newport News, VA 23606-2554Phone(757) 782-4070Fax(757) 606-1996Mailing LocationMailing Address11828 Canon Blvd Ste E, Newport News, VA 23606-2554Phone(757) 782-4070Fax(757) 606-1996Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense0904008370VirginiaProvider IdentifiersIDDescriptionIssuerID1659424448DescriptionMedicaidIssuerUnlistedVirginia