| Dr Andrew Scott Qualm, OD | |
|
1000 Health Center Road, Kyle, SD 57752 | |
| (605) 455-8216 | |
| (605) 455-1529 |
| Full Name | Dr Andrew Scott Qualm |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 41 Years |
| Location | 1000 Health Center Road, Kyle, South Dakota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881669661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 170 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pine Ridge Ihs Hospital | Pine ridge, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pine Ridge Indian Health Service Hospital | 7214825371 | 10 |
| Pine Ridge Indian Health Service Hospital | 4688654130 | 8 |
| Pine Ridge Indian Health Service Hospital | 4688571326 | 107 |
| Provider Name | Pine Ridge Indian Health Service Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497786412 PECOS PAC ID: 4688571326 Enrollment ID: O20031218000966 |
| Provider Name | Pine Ridge Indian Health Service Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003963497 PECOS PAC ID: 7214825371 Enrollment ID: O20040309001203 |
| Provider Name | Pine Ridge Indian Health Service Hospital |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962559518 PECOS PAC ID: 4688654130 Enrollment ID: O20040723000965 |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |