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 11 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Oroville Hospital, White Mountain Radiology, Optumcare Colorado Medical Group Llc, X-ray Professional Association, Columbus Radiology Physicians Llc, Cumberland Imaging Associates Pc, Centra Medical Group Llc, Jason L Hwang Md Inc, Simi Radiology And Imaging Medical Group, Enloe Medical Center 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 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 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
Experience11 Years
Location22100 Bothell Everett Hwy, Bothell, Washington
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 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: 12/04/2023
  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

Medical Facilities Affiliation

Facility NameLocationFacility Type
Enloe Medical CenterChico, CAHospital
Lakes Region General HospitalLaconia, NHHospital
Columbus Regional HospitalColumbus, INHospital
Cookeville Regional Medical CenterCookeville, TNHospital
Adventist Health Simi ValleySimi valley, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oroville Hospital125423433982
White Mountain Radiology236542912332
Optumcare Colorado Medical Group Llc276970643196
X-ray Professional Association337553992759
Columbus Radiology Physicians Llc397186341659
Cumberland Imaging Associates Pc428473505151
Centra Medical Group Llc4789606088636
Jason L Hwang Md Inc610317101250
Simi Radiology And Imaging Medical Group650784536938
Enloe Medical Center9739092388295

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 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 NameEnloe Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477975613
PECOS PAC ID: 9739092388
Enrollment ID: O20180919003157
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 NameSimi Radiology And Imaging Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730132275
PECOS PAC ID: 6507845369
Enrollment ID: O20181211002575
Entity NameIntercity Radiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356390736
PECOS PAC ID: 9830003847
Enrollment ID: O20190110000487
Entity NameCatawba Radiological Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679684948
PECOS PAC ID: 9335036789
Enrollment ID: O20190711002296
Entity NameRadiology Consultants Of Lynchburg Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922037043
PECOS PAC ID: 8022077205
Enrollment ID: O20190723000399
Entity NameColumbus Radiology Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467964718
PECOS PAC ID: 3971863416
Enrollment ID: O20190807000099
Entity NameCumberland Imaging Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437279262
PECOS PAC ID: 4284735051
Enrollment ID: O20191219000674
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 NameConcord Radiology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598260515
PECOS PAC ID: 8628332061
Enrollment ID: O20210415002236
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 NameCarolinas Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386426864
PECOS PAC ID: 3375449655
Enrollment ID: O20240502003119

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: () -		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: Accepting 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.