Dr Walter Collazo, DDS in Herndon, VA - Medicare Dentist Provider

Dr Walter Collazo, DDS is a medicare enrolled "Dentist - General Practice" provider in Herndon, Virginia. His current practice location is 555 Grove St Ste 108, Herndon, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 787-7778.

Dr Walter Collazo is licensed to practice in Virginia (license number 0401008551) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780774299.

Contact Information

	Dr Walter Collazo, DDS
	555 Grove St Ste 108, Herndon, VA 20170-4728
	(703) 787-7778
	(571) 203-1390

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Walter Collazo
Gender	Male
Speciality	Dentist - General Practice
Location	555 Grove St Ste 108, Herndon, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780774299
Provider Enumeration Date: 10/13/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0547571267
Enrollment ID: I20150623000824

Medical Identifiers

Medical identifiers for Dr Walter Collazo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780774299	NPI	-	NPPES
452873	Other	VA	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	0401008551 (Virginia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Walter Collazo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Walter Collazo, DDS 555 Grove St Ste 108, Herndon, VA 20170-4728 Ph: (703) 787-7778	Dr Walter Collazo, DDS 555 Grove St Ste 108, Herndon, VA 20170-4728 Ph: (703) 787-7778

Reviews and Comments

Dentist in Herndon, VA

Parinaz Movaghari, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1035 Sterling Rd, Herndon, VA 20170 Phone: 703-471-8080
Dr. Bryan L Grimmer, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 102 Elden St, Suite 17, Herndon, VA 20170 Phone: 703-478-0315 Fax: 703-478-7451
Dr. Elham Safari, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 555 Grove Street, Suite 108, Herndon, VA 20170 Phone: 703-787-7778 Fax: 571-203-1390
Dr. Maha Siddiqi, DDS Dentist Medicare: Medicare Enrolled Practice Location: 504 Elden St Ste 1, Herndon, VA 20170 Phone: 703-464-0000
Mojdeh Vessali, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 505 Huntmar Park Dr, Ste #150, Herndon, VA 20170 Phone: 703-736-0900 Fax: 703-736-0666
Dr. Raman K Jassal, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 112 Elden St, Suite #n, Herndon, VA 20170 Phone: 703-787-9000 Fax: 703-787-9000
Dr. Carroll Arthur Johnston, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 150 Elden St, Suite 200, Herndon, VA 20170 Phone: 703-707-2070 Fax: 703-707-0450

Dr Walter Collazo, DDS - Medicare Dentist in Herndon, VA