Colleen B Staszak, DO in Rocky River, OH - Medicare Family Practice

Colleen B Staszak, DO is a medicare enrolled "Family Medicine" physician in Rocky River, Ohio. She went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2000 and has 24 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice University Primary Care Practices Inc and her current practice location is 19800 Detroit Rd, Rocky River, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 333-1107.

Colleen B Staszak is licensed to practice in Ohio (license number 34-008120) 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 1780651836.

Contact Information

	Colleen B Staszak, DO
	19800 Detroit Rd, Rocky River, OH 44116-1884
	(440) 333-1107
	(440) 333-1064

Map and Direction

Physician's Profile

Full Name	Colleen B Staszak
Gender	Female
Speciality	Family Practice
Experience	24 Years
Location	19800 Detroit Rd, Rocky River, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Colleen B Staszak attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2000

NPI Data:

NPI Number: 1780651836
Provider Enumeration Date: 03/07/2006
Last Update Date: 01/08/2021

Medicare PECOS Information:

PECOS PAC ID: 7810989910
Enrollment ID: I20040331000045

Medical Identifiers

Medical identifiers for Colleen B Staszak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780651836	NPI	-	NPPES
2463516	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	34-008120 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Hospitals Of Cleveland	Cleveland, OH	Hospital
Uh St John Medical Center	Westlake, OH	Hospital
Fairview Hospital	Cleveland, OH	Hospital
Southwest General Health Center	Middleburg heights, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Primary Care Practices Inc	3072417534	940

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. Colleen B Staszak allows following entities to bill medicare on her behalf.

Entity Name	University Primary Care Practices Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767

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. Colleen B Staszak 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
Colleen B Staszak, DO 26908 Detroit Rd, Suite 301, Westlake, OH 44145-2398 Ph: (440) 617-1823	Colleen B Staszak, DO 19800 Detroit Rd, Rocky River, OH 44116-1884 Ph: (440) 333-1107

Reviews and Comments

Family Medicine Doctors in Rocky River, OH

Dr. David A Gumucio, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19800 Detroit Rd, Rocky River, OH 44116 Phone: 440-333-1107 Fax: 440-333-1064
Dr. Angela K Chavez, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19895 Detroit Rd, Rocky River, OH 44116 Phone: 440-356-5500
Dr. Amber Stonehouse Tully, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19324 Detroit Rd, Rocky River, OH 44116 Phone: 440-356-3640 Fax: 440-356-3729
Harkiran Saini, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 19324 Detroit Rd, Rocky River, OH 44116 Phone: 440-356-3640
Rebecca A Fredrick, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19800 Detroit Rd, Rocky River, OH 44116 Phone: 440-333-1107 Fax: 440-333-1064
Dr. David Matthew Wendt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19234 Detroit Rd, Rocky River, OH 44116 Phone: 440-356-3640 Fax: 440-356-3729
Dr. Kurtis Charles Dornan, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19800 Detroit Rd Ste 100, Rocky River, OH 44116 Phone: 216-608-8000 Fax: 216-608-8001

Colleen B Staszak, DO - Medicare Family Practice in Rocky River, OH