Lisa Collazzo, MD - Medicare Diagnostic Radiology in Miami, FL

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Lisa Collazzo, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Miami, Florida. She went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Southeast Radiology Ltd and her current practice location is 1475 Nw 12th Ave, Miami, Florida. You can reach out to her office (for appointments etc.) via phone at (305) 243-5512.

Lisa Collazzo is licensed to practice in Florida (license number ME143682) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821083270.

Contact Information

Lisa Collazzo, MD
1475 Nw 12th Ave,
Miami, FL 33136-1002
(305) 243-5512
Not Available

Map and Direction




Physician's Profile

Full NameLisa Collazzo
GenderFemale
SpecialityDiagnostic Radiology
Experience36 Years
Location1475 Nw 12th Ave, Miami, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa Collazzo attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 1988
  NPI Data:
  • NPI Number: 1821083270
  • Provider Enumeration Date: 09/13/2005
  • Last Update Date: 10/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7911935556
  • Enrollment ID: I20050803000853

Medical Identifiers

Medical identifiers for Lisa Collazzo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821083270NPI-NPPES
0175110MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology ME143682 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Crozer Chester Medical CenterUpland, PAHospital
Delaware County Memorial HospitalDrexel hill, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeast Radiology Ltd913302523232

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. Lisa Collazzo allows following entities to bill medicare on her behalf.
Entity NameSoutheast Radiology Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790779684
PECOS PAC ID: 9133025232
Enrollment ID: O20031210000107
Entity NameSoutheast Medical Imaging, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497784177
PECOS PAC ID: 3274561923
Enrollment ID: O20050803000088
Entity NameTemple Faculty Practice Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881176949
PECOS PAC ID: 0345588711
Enrollment ID: O20190208002623
Entity NameRemlo
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063543791
PECOS PAC ID: 5193800258
Enrollment ID: O20201120001587

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. Lisa Collazzo 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 AddressPractice Location Address
Lisa Collazzo, MD
1475 Nw 12th Ave,
Miami, FL 33136-1002

Ph: (305) 243-5512		Lisa Collazzo, MD
1475 Nw 12th Ave,
Miami, FL 33136-1002

Ph: (305) 243-5512

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.