Individual ProviderRonnie FassInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address2500 Metrohealth Dr, Cleveland, OH 44109-1900(216) 778-7800(216) 778-1000PECOS EnrollmentBased on the most recent information from CMS, provider Ronnie Fass is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 9:20 AM.Profile DetailsProvider ID1780696997Provider TypeIndividualFull NameFass, RonnieCredentialMDGenderMaleSole ProprietorNoEnumeration Date8/13/2006Last Updated12/27/2021Contact InformationPractice LocationPractice Address2500 Metrohealth Dr, Cleveland, OH 44109-1900Phone(216) 778-7800FaxUnlisted FaxMailing LocationMailing Address2500 Metrohealth Dr, Cleveland, OH 44109-1900Phone(216) 778-1000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207RG0100XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense35120390OhioProvider IdentifiersIDDescriptionIssuerID117756DescriptionMedicaidIssuerUnlistedArizona