Luis Collazo, MD is a
Family Medicine physician based in Fraser, Michigan. Luis Collazo is licensed to practice in Michigan (license number LC062191) and his current practice location is 31022 Utica Rd., Fraser, Michigan. He can be reached at his office (for appointments etc.) via phone at
(586) 298-6035.
NPI number for Luis Collazo is 1699849885 and his current mailing address is 31022 Utica Rd., Fraser, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699849885.
Physician's Profile
Full Name | Luis Collazo |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 31022 Utica Rd., Fraser, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699849885
- Provider Enumeration Date: 11/20/2006
- Last Update Date: 08/22/2011
Medical Identifiers
Medical identifiers for Luis Collazo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699849885 | NPI | - | NPPES |
4321598 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | LC062191 (Michigan) | 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. Luis Collazo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Luis Collazo, MD 31022 Utica Rd., Fraser, MI 48026 Ph: (586) 298-6035 | Luis Collazo, MD 31022 Utica Rd., Fraser, MI 48026 Ph: (586) 298-6035 |
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