Individual ProviderMichael D SwansonSpecialistOther Service ProvidersPractice Address4075 Monroeville Blvd, Suite 220, Monroeville, PA 15146-2525(412) 372-6262PECOS EnrollmentBased on the most recent information from CMS, provider Michael D Swanson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1770543233Provider TypeIndividualFull NameSwanson, Michael DCredentialMDGenderMaleEnumeration Date3/27/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address4075 Monroeville Blvd, Suite 220, Monroeville, PA 15146-2525Phone(412) 372-6262FaxUnlisted FaxMailing LocationMailing Address4075 Monroeville Blvd, Suite 220, Monroeville, PA 15146-2525Phone(412) 372-6262FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseMD018230EPennsylvaniaProvider IdentifiersIDDescriptionIssuerID1430839DescriptionMedicaidIssuerUnlistedPennsylvania