Edgar Collazo, MD in Philadelphia, PA

Edgar Collazo, MD is a medicare enrolled "Pediatrics" physician in Philadelphia, Pennsylvania. His current practice location is 452 W Allegheny Ave, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 291-2500.

Edgar Collazo is licensed to practice in Pennsylvania (license number MD070294L) 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 1073596169.

Contact Information

	Edgar Collazo, MD
	452 W Allegheny Ave, Philadelphia, PA 19133-3639
	(215) 291-2500
	(215) 291-2587

Map and Direction

Physician's Profile

Full Name	Edgar Collazo
Gender	Male
Speciality	Pediatrics
Location	452 W Allegheny Ave, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073596169
Provider Enumeration Date: 11/22/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1355579756
Enrollment ID: I20140109001869

Medical Identifiers

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

Identifier	Type	State	Issuer
1073596169	NPI	-	NPPES
0018164480001	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD070294L (Pennsylvania)	Primary

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. Edgar Collazo allows following entities to bill medicare on his behalf.

Entity Name	Stc Pediatrics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144864547 PECOS PAC ID: 7315372323 Enrollment ID: O20200122001254

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. Edgar 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
Edgar Collazo, MD 452 W Allegheny Ave, Philadelphia, PA 19133-3639 Ph: (215) 291-2500	Edgar Collazo, MD 452 W Allegheny Ave, Philadelphia, PA 19133-3639 Ph: (215) 291-2500

Reviews and Comments

Pediatrics Doctors in Philadelphia, PA

Aaron Dorfman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Cardiology, Philadelphia, PA 19104 Phone: 215-590-4040 Fax: 267-425-9800
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Elizabeth Foglia, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3400 Spruce St, 8 Ravdin, Philadelphia, PA 19104 Phone: 215-662-3228 Fax: 215-349-8831
Dr. Katharine Taylor Levinson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 34th St And Civic Ctr Blvd, Philadelphia, PA 19104 Phone: 215-590-1000 Fax: 215-481-8795
Ms. Amman Hassan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5501 Old York Rd, Philadelphia, PA 19141 Phone: 215-456-3810
Geoffrey Libarnes Bajwa, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 160 E Erie Ave, Philadelphia, PA 19134 Phone: 215-427-5000
Helen Marie Stanley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3401 Civic Center Blvd Rm 55, Philadelphia, PA 19104 Phone: 215-590-1220

Edgar Collazo, MD - Medicare Pediatrics in Philadelphia, PA