| Benjamin Michael Kozak, MD | |
|
55 Fruit St, Boston, MA 02114-2621 | |
| (617) 643-3726 | |
| Not Available |
| Full Name | Benjamin Michael Kozak |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 10 Years |
| Location | 55 Fruit St, Boston, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487015384 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sutter Amador Hospital | Jackson, CA | Hospital |
| University Of Kentucky Hospital | Lexington, KY | Hospital |
| Ohio State University State Health System | Columbus, OH | Hospital |
| Carolinas Healthcare System-blue Ridge | Morganton, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pacific Radiology Group Inc | 7113817149 | 29 |
| University Of Kentucky | 3072425289 | 789 |
| Osu Radiology Llc | 8921031675 | 178 |
| Blue Ridge Healthcare Medical Group Inc | 9436159712 | 223 |
| Sutter Valley Medical Foundation | 9830094515 | 2449 |
| Entity Name | Blue Ridge Healthcare Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639244478 PECOS PAC ID: 9436159712 Enrollment ID: O20220404000492 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Michael Kozak, MD 2825 Oak Lawn Ave Unit 192749, Dallas, TX 75219-4688 Ph: (510) 683-9500 | Benjamin Michael Kozak, MD 55 Fruit St, Boston, MA 02114-2621 Ph: (617) 643-3726 |
Jennifer Michelle Thomas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Department Of Radiology, Boston, MA 02115 Phone: 617-732-6248 | |
Justin Sardi, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 617-726-2000 | |
Dr. Jordan Daniel Lemme, DO Radiology Medicare: May Accept Medicare Assignments Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 617-726-2000 | |
Dr. Meghavi Mashar, MB BCHIR Radiology Medicare: Accepting Medicare Assignments Practice Location: 330 Brookline Ave, Boston, MA 02215 Phone: 617-667-7000 | |
Rafeeque A Bhadelia, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 330 Brookline Ave, Bidmc Wcc90, Boston, MA 02215 Phone: 617-754-2058 Fax: 617-754-2004 | |
Dr. Srinivasan Mukundan Jr., M.D. Radiology Medicare: Medicare Enrolled Practice Location: 75 Francis St, Brigham And Women's Hospital, Boston, MA 02115 Phone: 617-732-7260 | |
Raymond W Liu, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 55 Fruit St, Grb 293, Boston, MA 02114 Phone: 917-923-2079 |