Antonio E Collazo, MD | |
990 S Prospect St, Suite 1, Marion, OH 43302-6283 | |
(740) 383-8060 | |
(740) 383-7974 |
Full Name | Antonio E Collazo |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 39 Years |
Location | 990 S Prospect St, Marion, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013967371 | NPI | - | NPPES |
0827458 | Medicaid | OH | |
647955 | Other | AETNA | |
040005658 | Other | TRAVELERS MEDICARE | |
0695991 | Other | PALMETTO MEDICARE | |
000000118451 | Other | OH | ANTHEM |
1000031 | Other | UHC | |
353077 | Other | SUBMITTER NO. | |
311098079 | Other | PPO NEXT | |
311098079 | Other | TAX ID # | |
311098079041 | Other | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 35061525C (Ohio) | Secondary |
207Y00000X | Otolaryngology | 35.061525 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hardin Memorial Hospital | Kenton, OH | Hospital |
Marion General Hospital | Marion, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Marion Area Physicians Llc | 1850549437 | 148 |
Entity Name | Marion Area Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619230802 PECOS PAC ID: 1850549437 Enrollment ID: O20120925000053 |
Mailing Address | Practice Location Address |
---|---|
Antonio E Collazo, MD # L-3652, Columbus, OH 43260-6052 Ph: (740) 383-7927 | Antonio E Collazo, MD 990 S Prospect St, Suite 1, Marion, OH 43302-6283 Ph: (740) 383-8060 |
Edgar Frank, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1040 Delaware Ave, Marion, OH 43302 Phone: 740-383-8060 Fax: 740-383-7974 | |
Jessica Ball, DO Otolaryngology Medicare: Medicare Enrolled Practice Location: 990 S Prospect St Ste 1, Marion, OH 43302 Phone: 740-383-8060 | |
Dr. David G Bailey, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 990 S Prospect St, Suite 1, Marion, OH 43302 Phone: 740-383-5252 Fax: 740-383-6653 |