Kevin R Kozak, MD, PHD is a medicare enrolled "Radiology - Radiation Oncology" physician in Baraboo, Wisconsin. His current practice location is
707 14th St, Baraboo, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 356-1400.
Kevin R Kozak is licensed to practice in Wisconsin (license number 51615) 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 1124219241.
Physician's Profile
| Full Name | Kevin R Kozak |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 707 14th St, Baraboo, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kevin R Kozak attended and graduated from in
NPI Data:
- NPI Number: 1124219241
- Provider Enumeration Date: 08/05/2007
- Last Update Date: 06/23/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kevin R Kozak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124219241 | NPI | - | NPPES |
| HVZ5R | Other | FL | FL BLUE |
| NO241 | Other | FL | MEDICARE |
| 109765700 | Medicaid | FL | |
| KOZAKKEV | Other | WI | MERCYCARE INSURANCE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0001X | Radiology - Radiation Oncology | ME148357 (Florida) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 036121114 (Illinois) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 51615 (Wisconsin) | Primary |
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. Kevin R 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 Address | Practice Location Address |
|---|
Kevin R Kozak, MD, PHD
707 14th St,
Baraboo, WI 53913-1539
Ph: (608) 356-1400 | Kevin R Kozak, MD, PHD
707 14th St,
Baraboo, WI 53913-1539
Ph: (608) 356-1400 |
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