Look up the most recent NPI and PECOS records

Kenneth D Swazer

Behavior Technician

Behavioral Health & Social Service Providers

4000 San Ernesto Ave, Anchorage, AK 99508-2874

PECOS Enrollment

Based on the most recent information from CMS, provider Kenneth D Swazer 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 yesterday at 12:57 PM.

Profile Details

Provider ID
1548646961
Provider Type
Individual
Full Name
Swazer, Kenneth D
Credential
BHT II

Gender
Male
Sole Proprietor
No
Enumeration Date
8/7/2015
Last Updated
4/3/2024

Contact Information

Practice Location

4000 San Ernesto Ave, Anchorage, AK 99508-2874

(907) 729-5020

Unlisted Fax

Mailing Location

7033 E Tudor Rd, Anchorage, AK 99507-1262

(907) 729-8901

(907) 729-6353

Provider Taxonomies

Code	Description	License
Code 106S00000X Primary	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 171M00000X	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer
Code 101YA0400X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer Alaska

Provider Identifiers

ID	Description	Issuer
ID MH9780	Description Medicaid	Issuer Unlisted Alaska

Kenneth D Swazer

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Mercurio, Mandy

Hall, Byron

Baber, Tatiana Monique

Lefaoseu, Faigalotumanuia

Vandroff, Stewart Vashion

Santiago, Jay

Lenett, Matthew

Hahn, Alex

Good, Dennis Keefe

Dupuis, Kristin Owen