| Lisa Collazzo, MD | |
|
1475 Nw 12th Ave, Miami, FL 33136-1002 | |
| (305) 243-5512 | |
| Not Available |
| Full Name | Lisa Collazzo |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 33 Years |
| Location | 1475 Nw 12th Ave, Miami, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821083270 | NPI | - | NPPES |
| 0175110 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD063635L (Pennsylvania) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | ME143682 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Upmc Carlisle | Carlisle, PA | Hospital |
| Christianacare | Newark, DE | Hospital |
| Univ Of Miami Hospital And Clinics-sylvester Compr | Miami, FL | Hospital |
| Upmc Pinnacle Hospitals | Harrisburg, PA | Hospital |
| Jefferson Einstein Philadelphia Hospital | Philadelphia, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Christiana Care Health Services Inc | 9739097569 | 1480 |
| University Of Miami | 3274795109 | 2346 |
| Christiana Care Health Services Inc | 9739097569 | 1480 |
| Einstein Practice Plan Inc | 2769395896 | 774 |
| Quantum Imaging And Therapeutic Associates Inc | 1355254129 | 92 |
| Christiana Care Pennsylvania Inc | 8921549973 | 176 |
| Entity Name | Quantum Imaging & Therapeutic Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609863893 PECOS PAC ID: 1355254129 Enrollment ID: O20031107000322 |
| Entity Name | Southeast Radiology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790779684 PECOS PAC ID: 9133025232 Enrollment ID: O20031210000107 |
| Entity Name | Christiana Care Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659547560 PECOS PAC ID: 9739097569 Enrollment ID: O20080730000317 |
| Entity Name | Temple Faculty Practice Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881176949 PECOS PAC ID: 0345588711 Enrollment ID: O20190208002623 |
| Entity Name | Christiana Care Pennsylvania Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467298299 PECOS PAC ID: 8921549973 Enrollment ID: O20240918002420 |
| Entity Name | Christiana Care Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952335556 PECOS PAC ID: 9739097569 Enrollment ID: O20241208000080 |
| Mailing Address | Practice 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 |
Dr. Brian F Baigorri, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3663 S Miami Ave, Miami, FL 33133 Phone: 305-854-4400 |
Dr. Justin Matthew Rafael, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8900 N Kendall Dr, Miami, FL 33176 Phone: 786-596-1960 Fax: 305-273-0254 |
Tate Hodges, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8900 N Kendall Dr, Miami, FL 33176 Phone: 786-596-1272 |
Aazim Syed Arif, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1611 Nw 12th Ave, Miami, FL 33136 Phone: 305-585-1111 |
Damian Mendoza, RDMS, RDCS, RVT Radiology Medicare: Not Enrolled in Medicare Practice Location: 4100 Sw 57th Ave, Miami, FL 33155 Phone: 305-856-1064 |
Mr. Hao V Vuong, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 8900 N Kendall Dr, Miami, FL 33176 Phone: 786-596-1960 |
Roberto Calderon, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 11750 Sw 40th St, Miami, FL 33175 Phone: 305-665-4614 Fax: 305-667-0239 |