Emalee R Staude | Shawnee, OK • PECOS Search

Emalee R Staude

Case Manager/Care Coordinator

Other Service Providers

1010 E 45th St, Shawnee, OK 74804-2202

PECOS Enrollment

Based on the most recent information from CMS, provider Emalee R Staude does not have current enrollment records in PECOS.

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

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1962962233
Provider Type
Individual
Full Name
Staude, Emalee R
Gender
Female

Sole Proprietor
No
Enumeration Date
3/22/2019
Last Updated
3/22/2019

Contact Information

Practice Location

1010 E 45th St, Shawnee, OK 74804-2202

Unlisted Fax

Mailing Location

PO Box 3848, Shawnee, OK 74802-3848

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171M00000X Primary	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer