Individual ProviderGrace Mascha FiskStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address2500 Metrohealth Dr, Cleveland, OH 44109-1900(216) 778-4486(440) 360-0125PECOS EnrollmentBased on the most recent information from CMS, provider Grace Mascha Fisk 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 ID1225832777Provider TypeIndividualFull NameMascha Fisk, GraceGenderFemaleSole ProprietorNoEnumeration Date4/3/2025Last Updated4/3/2025Contact InformationPractice LocationPractice Address2500 Metrohealth Dr, Cleveland, OH 44109-1900Phone(216) 778-4486FaxUnlisted FaxMailing LocationMailing Address421 E 314th St, Willowick, OH 44095-3770Phone(440) 360-0125FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer