Dr Lynette R Dziuk, OD is a medicare enrolled "Optometrist" provider in Warm Springs, Oregon. She went to Indiana University - School Of Optometry and graduated in 1999 and has 25 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Southcentral Foundation, Kodiak Area Native Association and her current practice location is
1270 Kot Num Rd, Warm Springs, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 553-2474.
Dr Lynette R Dziuk is licensed to practice in North Dakota (license number 583) 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 1629033527.
Healthcare Provider's Profile
Full Name | Dr Lynette R Dziuk |
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Gender | Female |
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Speciality | Optometry |
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Experience | 25 Years |
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Location | 1270 Kot Num Rd, Warm Springs, Oregon |
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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 Lynette R Dziuk attended and graduated from Indiana University - School Of Optometry in 1999
NPI Data:
- NPI Number: 1629033527
- Provider Enumeration Date: 04/20/2006
- Last Update Date: 03/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 8729986948
- Enrollment ID: I20031226000171
Medical Identifiers
Medical identifiers for Dr Lynette R Dziuk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629033527 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 133431 (Alaska) | Secondary |
152W00000X | Optometrist | 583 (North Dakota) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Southcentral Foundation | 5496663627 | 116 |
Kodiak Area Native Association | 8426959297 | 20 |
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 Lynette R Dziuk allows following entities to bill medicare on her behalf.
Provider Name | Alaska Native Tribal Health Consortium |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772 |
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Provider Name | Kodiak Area Native Association |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1679514236 PECOS PAC ID: 8426959297 Enrollment ID: O20041004000838 |
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Provider Name | Southcentral Foundation |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1780614263 PECOS PAC ID: 5496663627 Enrollment ID: O20051027000416 |
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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 Lynette R Dziuk 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 Lynette R Dziuk, OD Po Box 1209, Warm Springs, OR 97761-1209 Ph: (541) 553-2474 | Dr Lynette R Dziuk, OD 1270 Kot Num Rd, Warm Springs, OR 97761 Ph: (541) 553-2474 |
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