Kevin R Kozak, MD, PHD is a medicare enrolled "Radiology - Radiation Oncology" physician in Baraboo, Wisconsin. He went to Vanderbilt University School Of Medicine and graduated in 2003 and has 22 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice Mercy Health System Corporation and 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 | Radiation Oncology |
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| Experience | 22 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 Vanderbilt University School Of Medicine in 2003
NPI Data:
- NPI Number: 1124219241
- Provider Enumeration Date: 08/05/2007
- Last Update Date: 06/23/2025
Medicare PECOS Information:
- PECOS PAC ID: 3173696465
- Enrollment ID: I20080719000084
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mercy Health System Corporation | 7416860440 | 564 |
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. Kevin R Kozak allows following entities to bill medicare on his behalf.
| Entity Name | University Of Wisconsin Medical Foundation Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598784555
PECOS PAC ID: 6608785464
Enrollment ID: O20031111000435 |
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| Entity Name | Mercy Health System Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598718603
PECOS PAC ID: 7416860440
Enrollment ID: O20031113000164 |
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| Entity Name | Shared Magnetic Resonance Imaging Facility Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780640532
PECOS PAC ID: 8921906256
Enrollment ID: O20040120000022 |
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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. 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 |
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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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