Dr Tyson Herzog Collazo, MD in Danbury, CT

Dr Tyson Herzog Collazo, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Danbury, Connecticut. He went to Icahn School Of Medicine At Mount Sinai and graduated in 2011 and has 13 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Jackson Siegelbaum Gastroenterology Ltd and his current practice location is 111 Osborne St Fl 2, Danbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 739-7038.

Dr Tyson Herzog Collazo is licensed to practice in Connecticut (license number 76586) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801195565.

Contact Information

	Dr Tyson Herzog Collazo, MD
	111 Osborne St Fl 2, Danbury, CT 06810
	(203) 739-7038
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Tyson Herzog Collazo
Gender	Male
Speciality	Gastroenterology
Experience	13 Years
Location	111 Osborne St Fl 2, Danbury, Connecticut
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Tyson Herzog Collazo attended and graduated from Icahn School Of Medicine At Mount Sinai in 2011

NPI Data:

NPI Number: 1801195565
Provider Enumeration Date: 03/21/2011
Last Update Date: 02/21/2024

Medicare PECOS Information:

PECOS PAC ID: 4688941735
Enrollment ID: I20200403000028

Medical Identifiers

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

Identifier	Type	State	Issuer
1801195565	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	269178 (New York)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	MD469399 (Pennsylvania)	Secondary
207RG0100X	Internal Medicine - Gastroenterology	76586 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Pinnacle Health Hospitals	Harrisburg, PA	Hospital
Danbury Hospital	Danbury, CT	Hospital
Holy Spirit Hospital	Camp hill, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jackson Siegelbaum Gastroenterology Ltd	5799769139	12

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Tyson Herzog Collazo allows following entities to bill medicare on his behalf.

Entity Name	Jackson Siegelbaum Gastroenterology Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902866205 PECOS PAC ID: 5799769139 Enrollment ID: O20040615000390

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 Tyson Herzog 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 Tyson Herzog Collazo, MD 111 Osborne St Fl 2, Danbury, CT 06810-6000 Ph: (203) 739-7038	Dr Tyson Herzog Collazo, MD 111 Osborne St Fl 2, Danbury, CT 06810 Ph: (203) 739-7038

Reviews and Comments

Internal Medicine Doctors in Danbury, CT

Dr. David Louisia, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 120 Main St, Danbury, CT 06810 Phone: 203-743-0100
Dr. Shivayogi V Magavi, MD Gastroenterology Medicare: May Accept Medicare Assignments Practice Location: 57 North St, Suite 103, Danbury, CT 06810 Phone: 203-744-7007
Andrew Keller, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 27 Hospital Ave, Danbury, CT 06810 Phone: 203-797-7155
Mary E. Blackman, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 79 Sand Pit Road, 102, Danbury, CT 06810 Phone: 203-749-5700
Nirmalamma S Magavi, MD Gastroenterology Medicare: May Accept Medicare Assignments Practice Location: 57 North St, Suite 103, Danbury, CT 06810 Phone: 203-744-7007
David D Weinshel, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 24 Hospital Ave, Danbury, CT 06810 Phone: 203-797-7173
Dr. Michael Spiegel, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 33 Germantown Rd, 1st Floor, Danbury, CT 06810 Phone: 203-794-5600 Fax: 203-794-5611

Dr Tyson Herzog Collazo, MD - Medicare Gastroenterology in Danbury, CT