Basic Information
| Provider Information | |||||||||
| NPI: | 1932173622 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BECKSTRAND | ||||||||
| FirstName: | SCOTT | ||||||||
| MiddleName: | ALAN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 86370 | ||||||||
| Address2: | |||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571186370 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053227510 | ||||||||
| FaxNumber: | 6053226475 | ||||||||
| Practice Location | |||||||||
| Address1: | 6100 S LOUISE AVE STE 1120 | ||||||||
| Address2: | |||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571086021 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6055041700 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/17/2006 | ||||||||
| LastUpdateDate: | 10/31/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 4907 | SD | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 0404479 | 01 | SD | MEDICA | OTHER | 46022474335 | 05 | NE | MEDICAID | 32316 | 01 | SD | SANFORD HEALTH PLAN | OTHER | 49G87BE | 01 | MN | CC SYSTEMS/ BLUE PLUS | OTHER | HP34437 | 01 | SD | HEALTHPARTNERS | OTHER | 233694 | 01 | SD | MIDLANDS CHOICE | OTHER | 769201028394 | 01 | SD | PREFERRED ONE | OTHER | 1373750 | 01 | SD | ARAZ/ AMERICA'S PPO | OTHER | 151761 | 01 | MN | UCARE | OTHER | 92411422901 | 01 | MN | PRIMEWEST | OTHER | 286988800 | 05 | MN | MEDICAID | 4907 | 01 | SD | DAKOTACARE | OTHER | 6004230 | 05 | SD | MEDICAID | 0008138 | 01 | SD | BLUE CROSS | OTHER | 57105F006 | 01 | SD | WPS TRICARE | OTHER | 0545186 | 05 | IA | MEDICAID | 110225980 | 01 | SD | RR MEDICARE | OTHER |