Dr Luis Raul Collazo, MD - Medicare Pediatrics in Gaylord, MI

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Dr Luis Raul Collazo, MD is a medicare enrolled "Pediatrics" physician in Gaylord, Michigan. His current practice location is 829 N Center Ave, Suite 130, Gaylord, Michigan. You can reach out to his office (for appointments etc.) via phone at (989) 731-7930.

Dr Luis Raul Collazo is licensed to practice in Michigan (license number 4301071438) 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 1598754715.

Contact Information

Dr Luis Raul Collazo, MD
829 N Center Ave, Suite 130,
Gaylord, MI 49735-1595
(989) 731-7930
(989) 731-7948

Map and Direction




Physician's Profile

Full NameDr Luis Raul Collazo
GenderMale
SpecialityPediatrics
Location829 N Center Ave, Gaylord, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1598754715
  • Provider Enumeration Date: 10/20/2005
  • Last Update Date: 11/11/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1951436518
  • Enrollment ID: I20100322000229

Medical Identifiers

Medical identifiers for Dr Luis Raul Collazo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598754715NPI-NPPES
4943810MedicaidMI
3506910402OtherMIBCBSM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 4301071438 (Michigan)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. Dr Luis Raul Collazo allows following entities to bill medicare on his behalf.
Entity NameMunson Healthcare Otsego Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164628426
PECOS PAC ID: 8325942535
Enrollment ID: O20040305000525

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. Dr Luis Raul 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 AddressPractice Location Address
Dr Luis Raul Collazo, MD
829 N Center Ave, Suite 298,
Gaylord, MI 49735-1595

Ph: (989) 731-7708		Dr Luis Raul Collazo, MD
829 N Center Ave, Suite 130,
Gaylord, MI 49735-1595

Ph: (989) 731-7930

Reviews and Comments


Pediatrics Doctors in Gaylord, MI

Dr. Steve Vincent Kaufmann, D.O.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 829 N Center Ave, Suite 130, Gaylord, MI 49735
Phone: 989-731-7930    Fax: 989-731-7948
Dr. Karen Sue Koby-olson, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 652 N Otsego Ave, Gaylord, MI 49735
Phone: 989-732-3529    Fax: 989-732-7865

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.