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Jason Elie Abdallah

Internal Medicine

Allopathic & Osteopathic Physicians

2500 Metrohealth Dr, Cleveland, OH 44109-1900

PECOS Enrollment

This provider is enrolled in PECOS as JASON ABDALLAH.

Based on the most recent information from CMS, provider Jason Elie Abdallah 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 5 days ago.

Profile Details

Provider ID
1093071565
Provider Type
Individual
Full Name
Abdallah, Jason Elie
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
4/9/2012
Last Updated
12/10/2021

Contact Information

Practice Location

2500 Metrohealth Dr, Cleveland, OH 44109-1900

(216) 778-4486

Unlisted Fax

Mailing Location

7707 Ivandale Dr, Parma, OH 44129-4819

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207RG0100X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME148760 Florida
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 35.125306 Ohio

Jason Elie Abdallah

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Fass, Ronnie

Kurin, Michael

Ferguson, Roy D

Shah, Bhavesh

Mullen, Kevin D

Lindsey, Adrian

Kyprianou, Annette M

Mouchli, Mohamad Awf

Asaad, Imad

Jain, Alok