Dr Todd W Rozycki, MD is a medicare enrolled "Dermatology" physician in Mishawaka, Indiana. He went to Indiana University School Of Medicine and graduated in 1998 and has 27 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice The South Bend Clinic Llc and his current practice location is
1802 Day Rd, Mishawaka, Indiana. You can reach out to his office (for appointments etc.) via phone at
(574) 204-7200.
Dr Todd W Rozycki is licensed to practice in Indiana (license number 01055942A) 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 1407846967.
Physician's Profile
| Full Name | Dr Todd W Rozycki |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 27 Years |
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| Location | 1802 Day Rd, Mishawaka, Indiana |
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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:
- Dr Todd W Rozycki attended and graduated from Indiana University School Of Medicine in 1998
NPI Data:
- NPI Number: 1407846967
- Provider Enumeration Date: 10/26/2005
- Last Update Date: 05/21/2019
Medicare PECOS Information:
- PECOS PAC ID: 9234226184
- Enrollment ID: I20091221000176
Medical Identifiers
Medical identifiers for Dr Todd W Rozycki such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407846967 | NPI | - | NPPES |
| 200372880 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 01055942A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| The South Bend Clinic Llc | 3779577937 | 173 |
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 Todd W Rozycki allows following entities to bill medicare on his behalf.
| Entity Name | The South Bend Clinic Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073680419
PECOS PAC ID: 3779577937
Enrollment ID: O20040412000439 |
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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. Dr Todd W Rozycki 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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Dr Todd W Rozycki, MD
1802 Day Rd,
Mishawaka, IN 46545-4329
Ph: (574) 204-7200 | Dr Todd W Rozycki, MD
1802 Day Rd,
Mishawaka, IN 46545-4329
Ph: (574) 204-7200 |
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