Dr Samantha Czerniak, OD in Appleton, WI - Medicare Optometry Provider

Dr Samantha Czerniak, OD is a medicare enrolled "Optometrist" provider in Appleton, Wisconsin. She went to Pennsylvania College Of Optometry and graduated in 2020 and has 4 years of diverse experience with area of expertise as Optometry. She is a member of the group practice The Medical College Of Wisconsin Inc and her current practice location is 2575 E Evergreen Drive, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 969-5353.

Dr Samantha Czerniak is licensed to practice in Wisconsin (license number 3819) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700484003.

Contact Information

	Dr Samantha Czerniak, OD
	2575 E Evergreen Drive, Appleton, WI 54913-8910
	(920) 969-5353
	(414) 337-7201

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Samantha Czerniak
Gender	Female
Speciality	Optometry
Experience	4 Years
Location	2575 E Evergreen Drive, Appleton, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Samantha Czerniak attended and graduated from Pennsylvania College Of Optometry in 2020

NPI Data:

NPI Number: 1700484003
Provider Enumeration Date: 10/09/2020
Last Update Date: 09/11/2023

Medicare PECOS Information:

PECOS PAC ID: 3274945936
Enrollment ID: I20221116002326

Medical Identifiers

Medical identifiers for Dr Samantha Czerniak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700484003	NPI	-	NPPES
1700484003	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3819 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Medical College Of Wisconsin Inc	2668384371	1813

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. Dr Samantha Czerniak allows following entities to bill medicare on her behalf.

Provider Name	The Medical College Of Wisconsin Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259

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. Dr Samantha Czerniak 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
Dr Samantha Czerniak, OD 2575 E Evergreen Drive, Appleton, WI 54913-8910 Ph: (920) 969-5353	Dr Samantha Czerniak, OD 2575 E Evergreen Drive, Appleton, WI 54913-8910 Ph: (920) 969-5353

Reviews and Comments

Optometrist in Appleton, WI

Paul K Thompson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1301 E Northland Ave, Suite A, Appleton, WI 54911 Phone: 920-734-8714 Fax: 920-734-8785
Kimberly Landwehr, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 21 Park Pl, Appleton, WI 54914 Phone: 920-739-4361 Fax: 920-739-6368
Optivision Eye Care Llp Optometrist Medicare: Medicare Enrolled Practice Location: 223 S Nicolet Rd, Appleton, WI 54914 Phone: 920-733-5888 Fax: 920-733-5151
Dr. Katie Abata, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 21 Park Pl, Appleton, WI 54914 Phone: 920-739-4361 Fax: 920-739-6368
Maya Jillian Pollock, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1225 W Northland Ave, Appleton, WI 54914 Phone: 920-731-2020 Fax: 920-733-2117
Mark Wade, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2700 W College Ave, Appleton, WI 54914 Phone: 920-735-9580
Sullivan Eye Center, S.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1195 N Casaloma Dr, Appleton, WI 54913 Phone: 920-734-0400 Fax: 920-734-9054

Dr Samantha Czerniak, OD - Medicare Optometrist in Appleton, WI