Individual ProviderCarson Michael BuckSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1450 Alta Vista St, Dubuque, IA 52001-4327(815) 985-1211PECOS EnrollmentBased on the most recent information from CMS, provider Carson Michael Buck 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 yesterday at 10:50 AM.Profile DetailsProvider ID1518599455Provider TypeIndividualFull NameBuck, Carson MichaelGenderMaleSole ProprietorYesEnumeration Date2/9/2020Last Updated2/9/2020Contact InformationPractice LocationPractice Address1450 Alta Vista St, Dubuque, IA 52001-4327Phone(815) 985-1211FaxUnlisted FaxMailing LocationMailing Address638 Arlington St Apt 1, Dubuque, IA 52001-6215Phone(815) 985-1211FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2255A2300XPrimaryDescriptionSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer