Derek David Czywczynski, OD in Bemidji, MN - Medicare Optometry Provider

Derek David Czywczynski, OD is a medicare enrolled "Optometrist" provider in Bemidji, Minnesota. He went to Southern California College Of Optometry and graduated in 2009 and has 17 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Sanford Health Of Northern Minnesota and his current practice location is 2819 Forest View Dr Ne, Bemidji, Minnesota. You can reach out to his office (for appointments etc.) via phone at (701) 516-2115.

Derek David Czywczynski is licensed to practice in Minnesota (license number 3667) 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 1427281583.

Contact Information

	Derek David Czywczynski, OD
	2819 Forest View Dr Ne, Bemidji, MN 56601-9145
	(701) 516-2115
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Derek David Czywczynski
Gender	Male
Speciality	Optometry
Experience	17 Years
Location	2819 Forest View Dr Ne, Bemidji, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Derek David Czywczynski attended and graduated from Southern California College Of Optometry in 2009

NPI Data:

NPI Number: 1427281583
Provider Enumeration Date: 08/24/2009
Last Update Date: 12/21/2025

Medicare PECOS Information:

PECOS PAC ID: 0648316646
Enrollment ID: I20200521000589

Medical Identifiers

Medical identifiers for Derek David Czywczynski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427281583	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3667 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sanford Bemidji Medical Center	Bemidji, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sanford Health Of Northern Minnesota	5597725168	299

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. Derek David Czywczynski allows following entities to bill medicare on his behalf.

Provider Name	Sanford Health Of Northern Minnesota
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770849697 PECOS PAC ID: 5597725168 Enrollment ID: O20041025000442

Provider Name	Sanford Health Of Northern Minnesota
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1265829881 PECOS PAC ID: 5597725168 Enrollment ID: O20150602000945

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. Derek David Czywczynski 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
Derek David Czywczynski, OD 2819 Forest View Dr Ne, Bemidji, MN 56601-9145 Ph: (701) 516-2115	Derek David Czywczynski, OD 2819 Forest View Dr Ne, Bemidji, MN 56601-9145 Ph: (701) 516-2115

Reviews and Comments

Optometrist in Bemidji, MN

Stephen J Vandyke, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1611 Anne St Nw, Bemidji, MN 56601 Phone: 218-333-2020 Fax: 218-333-2019
Vision Optical Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1401 Paul Bunyan Dr Nw, Paul Bunyan Mall, Bemidji, MN 56601 Phone: 218-751-7255 Fax: 218-751-7256
Germaine E Cheslock, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1611 Anne St Nw, Bemidji, MN 56601 Phone: 218-333-2020 Fax: 218-333-2019
Sanford Health Of Northern Minnesota Optometrist Medicare: Medicare Enrolled Practice Location: 1611 Anne St Nw, Ste 7, Bemidji, MN 56601 Phone: 218-333-2020 Fax: 218-333-2019
Susan Tesch, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1420 Bemidji Ave N, Bemidji, MN 56601 Phone: 218-759-1430
Dr. Kynndyl Paige Giannonatti, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1900 Division St W, Bemidji, MN 56601 Phone: 218-759-1430 Fax: 218-444-9086
Whelan Eye Care, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 1900 Division St W Unit 5, Bemidji, MN 56601 Phone: 218-759-1430 Fax: 218-444-9086

Derek David Czywczynski, OD - Medicare Optometrist in Bemidji, MN