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

Dr Samantha Czerniak, OD is a medicare enrolled "Optometrist" provider in Appleton, Wisconsin. 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 NameDr Samantha Czerniak
GenderFemale
Speciality
Experience Years
Location2575 E Evergreen Drive, Appleton, Wisconsin
Accepts Medicare AssignmentsYes. 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 in
  NPI Data:
  • NPI Number: 1700484003
  • Provider Enumeration Date: 10/09/2020
  • Last Update Date: 09/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Dr Samantha Czerniak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700484003NPI-NPPES
1700484003MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 3819 (Wisconsin)Primary

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 AddressPractice 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.
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Phone: 920-734-8714    Fax: 920-734-8785
Kimberly Landwehr, O.D.
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Phone: 920-739-4361    Fax: 920-739-6368
Optivision Eye Care Llp
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Phone: 920-733-5888    Fax: 920-733-5151
Dr. Katie Abata, O.D.
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Practice Location: 21 Park Pl, Appleton, WI 54914
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Maya Jillian Pollock, OD
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Phone: 920-731-2020    Fax: 920-733-2117
Mark Wade, OD
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Practice Location: 2700 W College Ave, Appleton, WI 54914
Phone: 920-735-9580    
Sullivan Eye Center, S.c.
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Medicare: Not Enrolled in Medicare
Practice Location: 1195 N Casaloma Dr, Appleton, WI 54913
Phone: 920-734-0400    Fax: 920-734-9054

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.