MR. RONALD E III WOLLUM (PAC) – Physician Assistant, NPI 1215983879
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. RONALD E III WOLLUM (PAC)
2020 59th St W
Bradenton, FL 342094604
Phone: (706) 863-9595
Fax: (706) 868-8375
Type: Location
DaVita Dialysis, 3070, Presidential Drive, Wright Executive Center, Fairborn, Greene County, Ohio, 45324, United States of America
SUITE 200
FAIRBORN, OH 453246293
Phone: (937) 429-2160
Fax: (937) 426-5663
Type: Mailing
1416, West 1st Street, Snyder Terrace, Springfield, Clark County, Ohio, 45504, United States
SPRINGFIELD, OH 45504
Phone: (937) 322-1700
Fax: (937) 322-8070
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-12-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151202002183 | I | Physician Assistant | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34209)
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