Dr Andrew Scott Qualm, OD is a medicare enrolled "Optometrist" provider in Kyle, South Dakota. He went to Southern College Of Optometry and graduated in 1985 and has 39 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Pine Ridge Indian Health Service Hospital, Pine Ridge Indian Health Service Hospital, Wanblee Indian Health Service and his current practice location is
1000 Health Center Road, Kyle, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 455-8216.
Dr Andrew Scott Qualm is licensed to practice in South Dakota (license number 170) 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 1881669661.
Healthcare Provider's Profile
| Full Name | Dr Andrew Scott Qualm |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 39 Years |
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| Location | 1000 Health Center Road, Kyle, South Dakota |
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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 Andrew Scott Qualm attended and graduated from Southern College Of Optometry in 1985
NPI Data:
- NPI Number: 1881669661
- Provider Enumeration Date: 02/23/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6709962418
- Enrollment ID: I20080320000509
Medical Identifiers
Medical identifiers for Dr Andrew Scott Qualm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881669661 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 170 (South Dakota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pine Ridge Indian Health Service Hospital | 4688571326 | 93 |
| Pine Ridge Indian Health Service Hospital | 7214825371 | 11 |
| Wanblee Indian Health Service | 4688654130 | 10 |
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 Andrew Scott Qualm allows following entities to bill medicare on his behalf.
| Provider Name | Pine Ridge Indian Health Service Hospital |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1497786412
PECOS PAC ID: 4688571326
Enrollment ID: O20031218000966 |
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| Provider Name | Pine Ridge Indian Health Service Hospital |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1003963497
PECOS PAC ID: 7214825371
Enrollment ID: O20040309001203 |
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| Provider Name | Wanblee Indian Health Service |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1962559518
PECOS PAC ID: 4688654130
Enrollment ID: O20040723000965 |
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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 Andrew Scott Qualm 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 Andrew Scott Qualm, OD
23805 Placer Pl,
Rapid City, SD 57702-6573
Ph: (605) 574-2297 | Dr Andrew Scott Qualm, OD
1000 Health Center Road,
Kyle, SD 57752
Ph: (605) 455-8216 |
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