Look up the most recent NPI and PECOS records

Makelle Louise Owens

Internal Medicine

Allopathic & Osteopathic Physicians

1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638

PECOS Enrollment

This provider is enrolled in PECOS as MAKELLE OWENS.

Based on the most recent information from CMS, provider Makelle Louise Owens is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1912655390
Provider Type
Individual
Full Name
Owens, Makelle Louise
Gender
Female

Sole Proprietor
Yes
Enumeration Date
3/14/2022
Last Updated
8/21/2025

Contact Information

Practice Location

1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638

(210) 292-6255

(210) 292-7934

Mailing Location

1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638

(210) 292-5910

(210) 292-7868

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 0101281486 Virginia
Code 171000000X	Description Military Health Care Provider Other Service Providers	License Unlisted Issuer
Code 208D00000X	Description General Practice Allopathic & Osteopathic Physicians	License 0101281486 Virginia

Makelle Louise Owens

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Bracero, Dominic

Kriege, Kevin Edward

Young, David G

Sauceda, Rito

Sabado, Raphael John Quinones

Cochran, Audra

De, Asha Rachel

Hootsmans, Helen Margaret

Barenberg, Kathryn Grace

Colwell, Trevor