Dr Glen D Nydam, OD in Mitchell, SD - Medicare Optometry Provider

Dr Glen D Nydam, OD is a medicare enrolled "Optometrist" provider in Mitchell, South Dakota. He went to Southern California College Of Optometry and graduated in 1996 and has 28 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Mabee Eye Clinic Pc and his current practice location is 305 N Sanborn Blvd, Mitchell, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 996-2537.

Dr Glen D Nydam is licensed to practice in South Dakota (license number 542) 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 1003887688.

Contact Information

	Dr Glen D Nydam, OD
	305 N Sanborn Blvd, Mitchell, SD 57301-2449
	(605) 996-2537
	(605) 996-0500

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Glen D Nydam
Gender	Male
Speciality	Optometry
Experience	28 Years
Location	305 N Sanborn Blvd, Mitchell, 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.

Medical Education and Training:

Dr Glen D Nydam attended and graduated from Southern California College Of Optometry in 1996

NPI Data:

NPI Number: 1003887688
Provider Enumeration Date: 01/31/2006
Last Update Date: 11/10/2022

Medicare PECOS Information:

PECOS PAC ID: 0547396491
Enrollment ID: I20100330000604

Medical Identifiers

Medical identifiers for Dr Glen D Nydam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003887688	NPI	-	NPPES
20048	Other	SD	SANFORD HEALTH PLAN
9170527	Other	SD	DAKOTACARE
9203192	Medicaid	SD
0006936	Other	SD	WELLMARK BCBS
230048	Other	SD	MIDLANDS CHOICE
9203190	Medicaid	SD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	542 (South Dakota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mabee Eye Clinic Pc	2365438116	2

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 Glen D Nydam allows following entities to bill medicare on his behalf.

Provider Name	Mabee Eye Clinic Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1578519864 PECOS PAC ID: 2365438116 Enrollment ID: O20040426000453

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 Glen D Nydam 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 Glen D Nydam, OD 305 N Sanborn Blvd, Mitchell, SD 57301-2449 Ph: (605) 996-2537	Dr Glen D Nydam, OD 305 N Sanborn Blvd, Mitchell, SD 57301-2449 Ph: (605) 996-2537

Reviews and Comments

Optometrist in Mitchell, SD

Krall Eye Clinic Optometrist Medicare: Medicare Enrolled Practice Location: 1415 N Sanborn Blvd, Mitchell, SD 57301 Phone: 605-996-2020
Dr. Jeff Krall, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1415 N Sanborn Blvd, Mitchell, SD 57301 Phone: 605-996-2020 Fax: 605-990-3937
Mabee Eye Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 305 N Sanborn Blvd, Mitchell, SD 57301 Phone: 605-996-2537 Fax: 605-996-0500
Dr. Phillip John Becker Ii, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1415 N Sanborn Blvd, Mitchell, SD 57301 Phone: 605-996-2020
Dr. Thomas A Young, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 211 E Havens St, Mitchell, SD 57301 Phone: 605-996-4671 Fax: 605-996-4671
Dr. Sheila Dawn Grieve, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 E 5th Ave Ste 1, Mitchell, SD 57301 Phone: 605-990-5367 Fax: 605-990-5369

Dr Glen D Nydam, OD - Medicare Optometrist in Mitchell, SD