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K'Deshia Zhane Martin

Counselor

Behavioral Health & Social Service Providers

301 W I 240 Service Rd, Oklahoma City, OK 73139-7701

PECOS Enrollment

This provider is enrolled in PECOS as K'DESHIA MARTIN.

Based on the most recent information from CMS, provider K'Deshia Zhane Martin 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 3 days ago.

Profile Details

Provider ID
1871045674
Provider Type
Individual
Full Name
Martin, K'Deshia Zhane
Gender
Female

Sole Proprietor
No
Enumeration Date
10/27/2016
Last Updated
6/24/2021

Contact Information

Practice Location

301 W I 240 Service Rd, Oklahoma City, OK 73139-7701

(405) 635-3800

(405) 604-9689

Mailing Location

5517 Evanbrook Ter, Oklahoma City, OK 73135-1523

(405) 546-8060

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 10099 Oklahoma
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 171M00000X	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer

K'Deshia Zhane Martin

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Henson, Jeanette

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Lopez Aponte, Gabriela

Martin, Sherry Dean

Hunter, Kim N

Layne, Kerris

Michelle Vernon, Pllc

Devlin, Karen A

Sawyer, Toni