Kevin R Kozak, MD, PHD - Medicare Radiation Oncology in Bonita Springs, FL

Kevin R Kozak, MD, PHD is a medicare enrolled "Radiology - Radiation Oncology" physician in Bonita Springs, Florida. He went to Vanderbilt University School Of Medicine and graduated in 2003 and has 21 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 25243 Elementary Way, Bonita Springs, Florida. You can reach out to his office (for appointments etc.) via phone at (239) 317-2772.

Kevin R Kozak is licensed to practice in Florida (license number ME148357) 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.

Contact Information

Kevin R Kozak, MD, PHD
25243 Elementary Way,
Bonita Springs, FL 34135-7898
(239) 317-2772
(239) 676-7637



Physician's Profile

Full NameKevin R Kozak
GenderMale
SpecialityRadiation Oncology
Experience21 Years
Location25243 Elementary Way, Bonita Springs, Florida
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:
  • 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: 04/13/2021
  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.
IdentifierTypeStateIssuer
1124219241NPI-NPPES
KOZAKKEVOtherWIMERCYCARE INSURANCE
HVZ5ROtherFLFL BLUE
NO241OtherFLMEDICARE
109765700MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0001XRadiology - Radiation Oncology ME148357 (Florida)Primary
2085R0001XRadiology - Radiation Oncology 51615 (Wisconsin)Secondary
2085R0001XRadiology - Radiation Oncology 036121114 (Illinois)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Health System CorpJanesville, WIHospital
Mercy Walworth Hospital & Medical CenterLake geneva, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Health System Corporation7416860440459

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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 NameUniversity Of Wisconsin Medical Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598784555
PECOS PAC ID: 6608785464
Enrollment ID: O20031111000435

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Entity NameMercy Health System Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598718603
PECOS PAC ID: 7416860440
Enrollment ID: O20031113000164

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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 AddressPractice Location Address
Kevin R Kozak, MD, PHD
1860 Boy Scout Dr Ste 201,
Fort Myers, FL 33907-2119

Ph: (239) 215-1180
Kevin R Kozak, MD, PHD
25243 Elementary Way,
Bonita Springs, FL 34135-7898

Ph: (239) 317-2772

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Radiology Doctors in Bonita Springs, FL

Mr. Angelo Joseph Zappala, DO
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 3501 Health Center Blvd, Bonita Springs, FL 34135
Phone: 239-949-1050    Fax: 239-949-6111
Dr. Donald Raymond Sugarman, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 3314 Montara Dr, Bonita Springs, FL 34134
Phone: 239-495-6199    
Todd A Pezzi, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 25243 Elementary Way, Bonita Springs, FL 34135
Phone: 239-317-2772    Fax: 239-676-7637
Dr. Sonal Sura, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 8991 Brighton Ln, Bonita Springs, FL 34135
Phone: 239-593-3030    
Dr. Thomas P Lynch, M.D.
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 3490 Ballybridge Cir Apt 201, Bonita Springs, FL 34134
Phone: 865-567-9877    
Donna M Taulbee, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 28604 Via D Arezzo Dr, Bonita Springs, FL 34135
Phone: 239-593-5570    

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