Benjamin Ross Park, DO - Medicare Diagnostic Radiology in Bothell, WA

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Benjamin Ross Park, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Bothell, Washington. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2013 and has 13 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice South Florida Medical Imaging Pa, Texas Imaging Partners Llc, Abercrombie Radiological Consultants Inc, Centra Medical Group Llc, Cmsc Llc, Shannon Clinic, Carilion Medical Center, Carilion Giles Community Hospital, Carilion Tazewell Community Hospital, Shannon Clinic, Mercy Diagnostic Imaging Pc, Oroville Hospital, Carolinas Physicians Network Inc, X-ray Professional Association, Tahoe Carson Radiology Loos Et Al Ltd, Radiology Medical Group Of Napa, Tennessee Valley Radiology Llc, Acadiana Radiology Group, Winchester Radiologists Pc, Memorial Hospital Of Converse County, North Platte Nebraska Hospital Corporation, Columbus Radiology Physicians Llc, Jason L Hwang Md Inc, Eastern Radiological Associates Pc and his current practice location is 22100 Bothell Everett Hwy, Bothell, Washington. You can reach out to his office (for appointments etc.) via phone at (208) 416-2932.

Benjamin Ross Park is licensed to practice in Colorado (license number DR.0061359) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1770922676.

Contact Information

Benjamin Ross Park, DO
22100 Bothell Everett Hwy,
Bothell, WA 98021-8431
(208) 416-2932
Not Available

Map and Direction




Physician's Profile

Full NameBenjamin Ross Park
GenderMale
SpecialityDiagnostic Radiology
Experience13 Years
Location22100 Bothell Everett Hwy, Bothell, Washington
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Benjamin Ross Park attended and graduated from Michigan State University College Of Osteopathic Medicine in 2013
  NPI Data:
  • NPI Number: 1770922676
  • Provider Enumeration Date: 06/24/2013
  • Last Update Date: 10/06/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9032451562
  • Enrollment ID: I20190501003164

Medical Identifiers

Medical identifiers for Benjamin Ross Park such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770922676NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 0102205720 (Virginia)Secondary
2085R0202XRadiology - Diagnostic Radiology DR.0061359 (Colorado)Primary
2085R0202XRadiology - Diagnostic Radiology S1673 (Texas)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carilion Roanoke Memorial HospitalRoanoke, VAHospital
Centra Health, IncLynchburg, VAHospital
Columbus Regional HospitalColumbus, INHospital
Carilion New River Valley Medical CenterChristiansburg, VAHospital
Concord Hospital- LaconiaLaconia, NHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
South Florida Medical Imaging Pa761886990040
Texas Imaging Partners Llc39710213533
Abercrombie Radiological Consultants Inc307241183451
Centra Medical Group Llc4789606088709
Cmsc Llc589060249492
Shannon Clinic0840103727550
Carilion Medical Center9830096585956
Carilion Giles Community Hospital3678670221223
Carilion Tazewell Community Hospital418360425976
Shannon Clinic0840103727550
Mercy Diagnostic Imaging Pc115323328391
Oroville Hospital125423433993
Carolinas Physicians Network Inc33754496552324
X-ray Professional Association337553992762
Tahoe Carson Radiology Loos Et Al Ltd640683259134
Radiology Medical Group Of Napa711390639741
Tennessee Valley Radiology Llc913310552142
Acadiana Radiology Group135540311450
Winchester Radiologists Pc711391528177
Memorial Hospital Of Converse County226434084377
North Platte Nebraska Hospital Corporation6507856697237
Columbus Radiology Physicians Llc397186341656
Jason L Hwang Md Inc610317101250
Eastern Radiological Associates Pc034523273250

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 Ross Park allows following entities to bill medicare on his behalf.
Entity NamePueblo Radiological Group PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568444271
PECOS PAC ID: 5597661272
Enrollment ID: O20031211001035
Entity NameDirect Radiology PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144572173
PECOS PAC ID: 9436396165
Enrollment ID: O20130613000219
Entity NameOptumcare Colorado Medical Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407252828
PECOS PAC ID: 2769706431
Enrollment ID: O20150129000413
Entity NameOroville Hospital
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1710372909
PECOS PAC ID: 1254234339
Enrollment ID: O20160407000940
Entity NameMountain Medical Physician Specialists PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720035520
PECOS PAC ID: 5294639407
Enrollment ID: O20170818002220
Entity NameSouth Florida Medical Imaging PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518945575
PECOS PAC ID: 7618869900
Enrollment ID: O20180102002639
Entity NameJason L Hwang MD Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811486616
PECOS PAC ID: 6103171012
Enrollment ID: O20181211001080
Entity NameIntercity Radiology PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356390736
PECOS PAC ID: 9830003847
Enrollment ID: O20190110000487
Entity NameAcadiana Radiology Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649422726
PECOS PAC ID: 1355403114
Enrollment ID: O20190503000488
Entity NameCatawba Radiological Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679684948
PECOS PAC ID: 9335036789
Enrollment ID: O20190711002296
Entity NameColumbus Radiology Physicians LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467964718
PECOS PAC ID: 3971863416
Enrollment ID: O20190807000099
Entity NameTennessee Valley Radiology LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356367551
PECOS PAC ID: 9133105521
Enrollment ID: O20200420000744
Entity NameX-ray Professional Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790758449
PECOS PAC ID: 3375539927
Enrollment ID: O20200831001160
Entity NameWhite Mountain Radiology
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225018146
PECOS PAC ID: 2365429123
Enrollment ID: O20230110000345
Entity NameCentra Medical Group LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649228966
PECOS PAC ID: 4789606088
Enrollment ID: O20231221000339
Entity NameCmsc LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639109978
PECOS PAC ID: 5890602494
Enrollment ID: O20240220000938
Entity NameEastern Radiological Associates PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639102171
PECOS PAC ID: 0345232732
Enrollment ID: O20240304000300
Entity NameCarolinas Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386426864
PECOS PAC ID: 3375449655
Enrollment ID: O20240502003119
Entity NameCarilion Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730123472
PECOS PAC ID: 9830096585
Enrollment ID: O20240814003624
Entity NameScott County Community Hospital Inc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1124536990
PECOS PAC ID: 3375829112
Enrollment ID: O20240823000083
Entity NameAbercrombie Radiological Consultants Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942207154
PECOS PAC ID: 3072411834
Enrollment ID: O20240826001926
Entity NameCarilion Rockbridge Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174636021
PECOS PAC ID: 4789658261
Enrollment ID: O20241009000896
Entity NameCarilion Giles Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194718304
PECOS PAC ID: 3678670221
Enrollment ID: O20241009001359
Entity NameNorth Platte Nebraska Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134355332
PECOS PAC ID: 6507856697
Enrollment ID: O20241011003060
Entity NameMercy Diagnostic Imaging PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477509768
PECOS PAC ID: 1153233283
Enrollment ID: O20241029001944
Entity NameCarilion Tazewell Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427040328
PECOS PAC ID: 4183604259
Enrollment ID: O20241107004074
Entity NameWinchester Radiologists PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235123977
PECOS PAC ID: 7113915281
Enrollment ID: O20241203003955
Entity NameMemorial Hospital of Converse County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356496491
PECOS PAC ID: 2264340843
Enrollment ID: O20250207001302
Entity NameRadiology Medical Group of Napa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285666313
PECOS PAC ID: 7113906397
Enrollment ID: O20250325003502
Entity NameShannon Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770587149
PECOS PAC ID: 0840103727
Enrollment ID: O20250506002354
Entity NameCorvallis Radiology PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881651289
PECOS PAC ID: 2062300676
Enrollment ID: O20250627003056
Entity NameTahoe Carson Radiology Loos Et Al Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902838352
PECOS PAC ID: 6406832591
Enrollment ID: O20250924000602
Entity NameTexas Imaging Partners LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548076052
PECOS PAC ID: 3971021353
Enrollment ID: O20251119002048
Entity NameWake Forest University Health Sciences
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003803032
PECOS PAC ID: 4486564952
Enrollment ID: O20260327001209

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 Ross Park 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 Ross Park, DO
669 Carved Ter,
Colorado Springs, CO 80919-1130

Ph: Not Available		Benjamin Ross Park, DO
22100 Bothell Everett Hwy,
Bothell, WA 98021-8431

Ph: (208) 416-2932

Reviews and Comments


Radiology Doctors in Bothell, WA

Darryn Hiroshi Matsushima, RDMS
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 105 167th Pl Sw, Bothell, WA 98012
Phone: 503-803-9866    
Michael David Berven, M.D.
Radiology
Medicare: May Accept Medicare Assignments
Practice Location: 22100 Bothell Everett Hwy, Bothell, WA 98021
Phone: 855-687-7237    

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.