MR. RONALD E WOLLUM III PAC
NPI 1215983879
Physician Assistant in Springfield, OH

Active since May 25, 2006PECOS Enrolled
1416 W 1ST ST, SPRINGFIELD, OH 45504(937) 322-1700(937) 322-8070 Get Directions Write a Review

NPPES record last updated: August 23, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Ronald E Wollum Iii Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RONALD E WOLLUM III PAC (NPI 1215983879) is an individual physician assistant in Springfield, Ohio, licensed in Ohio (50002301) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bradenton.

NPPES Registry Identity

NPI1215983879
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. RONALD E WOLLUM IIICredential: PAC
Location Address1416 W 1ST STSpringfield, OH 45504
Mailing Address3070 Presidential Dr, Suite 200Fairborn, OH 45324-6293 · (937) 429-2160 · Fax (937) 426-5663
Fax(937) 322-8070
Sole ProprietorNo
Enumeration DateMay 25, 2006
Last NPPES UpdateAugust 23, 2018
NPI 1215983879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in OH · 50002301 Licensed in FL · PA9106675
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1416 W 1ST ST, Springfield, OH 45504

Secondary Practice Location 1

Location 12020 59th St WBradenton, FL 34209-4604 · Phone (706) 863-9595 · Fax (706) 868-8375

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Ronald E Wollum Iii Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
1416 W 1ST ST
SPRINGFIELD, OH 45504
Durable Medical Equipment & Medical Supplies (Customized Equipment)
1416 W 1ST ST
SPRINGFIELD, OH 45504
Physician Assistant
1416 W 1ST ST
SPRINGFIELD, OH 45504
Nurse Practitioner (Family)
1416 W 1ST ST
SPRINGFIELD, OH 45504
Dentist (General Practice)
1416 W 1ST ST
SPRINGFIELD, OH 45504

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215983879, enumerated as an "individual" on May 25, 2006.

The provider is located at 1416 W 1ST ST SPRINGFIELD, OH 45504 and the phone number is (937) 322-1700.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Molina Healthcare, Oscar Health Insurance, Oscar. Please consult your insurance carrier or call the provider to verify.