Benjamin Michael Kozak, MD - Medicare Diagnostic Radiology in Boston, MA

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Benjamin Michael Kozak, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Boston, Massachusetts. He went to University Of California, San Francisco School Of Medicine and graduated in 2016 and has 10 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Pacific Radiology Group Inc, University Of Kentucky, Osu Radiology Llc, Blue Ridge Healthcare Medical Group Inc, Sutter Valley Medical Foundation and his current practice location is 55 Fruit St, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 643-3726.

Benjamin Michael Kozak is licensed to practice in California (license number A202269) 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 1487015384.

Contact Information

Benjamin Michael Kozak, MD
55 Fruit St,
Boston, MA 02114-2621
(617) 643-3726
Not Available

Map and Direction




Physician's Profile

Full NameBenjamin Michael Kozak
GenderMale
SpecialityDiagnostic Radiology
Experience10 Years
Location55 Fruit St, Boston, Massachusetts
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:
  • Benjamin Michael Kozak attended and graduated from University Of California, San Francisco School Of Medicine in 2016
  NPI Data:
  • NPI Number: 1487015384
  • Provider Enumeration Date: 03/19/2016
  • Last Update Date: 07/01/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5395017354
  • Enrollment ID: I20250609000902

Medical Identifiers

Medical identifiers for Benjamin Michael Kozak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487015384NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 2025-01005 (North Carolina)Secondary
2085R0202XRadiology - Diagnostic Radiology 55581 (Kentucky)Secondary
2085R0202XRadiology - Diagnostic Radiology 277329 (Massachusetts)Secondary
2085R0202XRadiology - Diagnostic Radiology T2656 (Texas)Secondary
2085R0202XRadiology - Diagnostic Radiology D0091889 (Maryland)Secondary
2085R0202XRadiology - Diagnostic Radiology 35.146016 (Ohio)Secondary
2085R0202XRadiology - Diagnostic Radiology A202269 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sutter Amador HospitalJackson, CAHospital
Ohio State University HospitalsColumbus, OHHospital
University Of Kentucky HospitalLexington, KYHospital
James Cancer Hospital & Solove Research InstituteColumbus, OHHospital
Unc Health Blue RidgeMorganton, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pacific Radiology Group Inc711381714931
University Of Kentucky3072425289778
Osu Radiology Llc8921031675180
Blue Ridge Healthcare Medical Group Inc9436159712222
Sutter Valley Medical Foundation98300945152473

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. Benjamin Michael Kozak allows following entities to bill medicare on his behalf.
Entity NameSutter Valley Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669846986
PECOS PAC ID: 9830094515
Enrollment ID: O20090311000335
Entity NameOSU Radiology LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912956814
PECOS PAC ID: 8921031675
Enrollment ID: O20200423002689
Entity NameUniversity of Kentucky
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770771974
PECOS PAC ID: 3072425289
Enrollment ID: O20201221000512
Entity NameBlue Ridge Healthcare Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639244478
PECOS PAC ID: 9436159712
Enrollment ID: O20220404000492
Entity NamePacific Radiology Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871577536
PECOS PAC ID: 7113817149
Enrollment ID: O20231025003591
Entity NameSt Agnes Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144250176
PECOS PAC ID: 9830092733
Enrollment ID: O20250401002707

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. Benjamin Michael Kozak 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
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

Reviews and Comments


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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.

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