Dr Tyson Herzog Collazo, MD - Medicare Gastroenterology in Danbury, CT

Dr Tyson Herzog Collazo, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Danbury, Connecticut. He went to Icahn School Of Medicine At Mount Sinai and graduated in 2011 and has 13 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Jackson Siegelbaum Gastroenterology Ltd and his current practice location is 111 Osborne St Fl 2, Danbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 739-7038.

Dr Tyson Herzog Collazo is licensed to practice in Connecticut (license number 76586) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801195565.

Contact Information

Dr Tyson Herzog Collazo, MD
111 Osborne St Fl 2,
Danbury, CT 06810
(203) 739-7038
Not Available



Physician's Profile

Full NameDr Tyson Herzog Collazo
GenderMale
SpecialityGastroenterology
Experience13 Years
Location111 Osborne St Fl 2, Danbury, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Tyson Herzog Collazo attended and graduated from Icahn School Of Medicine At Mount Sinai in 2011
  NPI Data:
  • NPI Number: 1801195565
  • Provider Enumeration Date: 03/21/2011
  • Last Update Date: 02/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4688941735
  • Enrollment ID: I20200403000028

Medical Identifiers

Medical identifiers for Dr Tyson Herzog Collazo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801195565NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology 269178 (New York)Secondary
207RG0100XInternal Medicine - Gastroenterology MD469399 (Pennsylvania)Secondary
207RG0100XInternal Medicine - Gastroenterology 76586 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Pinnacle Health HospitalsHarrisburg, PAHospital
Holy Spirit HospitalCamp hill, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jackson Siegelbaum Gastroenterology Ltd579976913912

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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 Tyson Herzog Collazo allows following entities to bill medicare on his behalf.
Entity NameJackson Siegelbaum Gastroenterology Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902866205
PECOS PAC ID: 5799769139
Enrollment ID: O20040615000390

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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 Tyson Herzog 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 Tyson Herzog Collazo, MD
111 Osborne St Fl 2,
Danbury, CT 06810-6000

Ph: (203) 739-7038
Dr Tyson Herzog Collazo, MD
111 Osborne St Fl 2,
Danbury, CT 06810

Ph: (203) 739-7038

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Internal Medicine Doctors in Danbury, CT

Dr. Shivayogi V Magavi, MD
Gastroenterology
Medicare: May Accept Medicare Assignments
Practice Location: 57 North St, Suite 103, Danbury, CT 06810
Phone: 203-744-7007    
Andrew Keller, M.D.
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 27 Hospital Ave, Danbury, CT 06810
Phone: 203-797-7155    
Mary E. Blackman, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 79 Sand Pit Road, 102, Danbury, CT 06810
Phone: 203-749-5700    
Nirmalamma S Magavi, MD
Gastroenterology
Medicare: May Accept Medicare Assignments
Practice Location: 57 North St, Suite 103, Danbury, CT 06810
Phone: 203-744-7007    
David D Weinshel, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 24 Hospital Ave, Danbury, CT 06810
Phone: 203-797-7173    
Dr. Michael Spiegel, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 33 Germantown Rd, 1st Floor, Danbury, CT 06810
Phone: 203-794-5600    Fax: 203-794-5611
Michael Cohenuram, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 24 Hospital Ave, Danbury, CT 06810
Phone: 203-797-7742    Fax: 203-830-2090

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