Mrs Daisy Rodriguez Collazo, in Tampa, FL - Medicare Nurse Practitioner

Mrs Daisy Rodriguez Collazo, is a medicare enrolled "Nurse Practitioner - Family" in Tampa, Florida. Her current practice location is 3108 W Giddens Ave, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 499-4939.

Mrs Daisy Rodriguez Collazo is licensed to practice in Florida (license number 11007992) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710595681.

Contact Information

	Mrs Daisy Rodriguez Collazo,
	3108 W Giddens Ave, Tampa, FL 33614-6719
	(813) 499-4939
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Daisy Rodriguez Collazo
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3108 W Giddens Ave, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710595681
Provider Enumeration Date: 07/16/2020
Last Update Date: 05/18/2023

Medicare PECOS Information:

PECOS PAC ID: 0042687261
Enrollment ID: I20221101001627

Medical Identifiers

Medical identifiers for Mrs Daisy Rodriguez Collazo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710595681	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	11007992 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	11007992 (Florida)	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. Mrs Daisy Rodriguez Collazo allows following entities to bill medicare on her behalf.

Entity Name	Charles K Friedman Do Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982622775 PECOS PAC ID: 0547240707 Enrollment ID: O20040720001398

Entity Name	Florida Pain Relief Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376994608 PECOS PAC ID: 4688960271 Enrollment ID: O20160908000245

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. Mrs Daisy Rodriguez 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
Mrs Daisy Rodriguez Collazo, 3108 W Giddens Ave, Tampa, FL 33614-6719 Ph: (813) 499-4939	Mrs Daisy Rodriguez Collazo, 3108 W Giddens Ave, Tampa, FL 33614-6719 Ph: (813) 499-4939

Reviews and Comments

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Mrs Daisy Rodriguez Collazo, - Medicare Nurse Practitioner in Tampa, FL