Dr Grace Caldwell, MD - Medicare Psychiatry & Neurology in Sioux Falls, SD

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Dr Grace Caldwell, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Sioux Falls, South Dakota. Her current practice location is 1400 W 22nd St, Sioux Falls, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 322-5737.

Dr Grace Caldwell is licensed to practice in South Dakota (license number 0614) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285216788.

Contact Information

Dr Grace Caldwell, MD
1400 W 22nd St,
Sioux Falls, SD 57105-1554
(605) 322-5737
Not Available

Map and Direction




Physician's Profile

Full NameDr Grace Caldwell
GenderFemale
SpecialityPsychiatry & Neurology - Psychiatry
Location1400 W 22nd St, Sioux Falls, South Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285216788
  • Provider Enumeration Date: 04/23/2021
  • Last Update Date: 03/29/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4082016860
  • Enrollment ID: I20230818001221

Medical Identifiers

Medical identifiers for Dr Grace Caldwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285216788NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 74925 (Minnesota)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 0614 (South Dakota)Primary

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 Grace Caldwell allows following entities to bill medicare on her behalf.
Entity NameSt Cloud Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043269798
PECOS PAC ID: 4880594779
Enrollment ID: O20110221000134
Entity NameCentracare Health System-nr Llc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1275872772
PECOS PAC ID: 3870739410
Enrollment ID: O20130426000215
Entity NameCentracare Health System-nr Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558600874
PECOS PAC ID: 3870739410
Enrollment ID: O20130515000683
Entity NameCarris Health Llc
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1134632680
PECOS PAC ID: 7012274228
Enrollment ID: O20180111000831

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 Grace Caldwell 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 Grace Caldwell, MD
6005 S Hallow Ave,
Sioux Falls, SD 57106-8709

Ph: (312) 982-4144		Dr Grace Caldwell, MD
1400 W 22nd St,
Sioux Falls, SD 57105-1554

Ph: (605) 322-5737

Reviews and Comments


Psychiatry & Neurology Doctors in Sioux Falls, SD

Dr. Alex James Linn, M.D.
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Phone: 605-322-8860    Fax: 605-322-8868
Amber Olson, MD
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Sarah A Flynn, M.D.
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Mackenzie Mertz, DO
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Georgiana Nuss, M.D.
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Practice Location: 2400 W 49th St, Sioux Falls, SD 57105
Phone: 605-312-8700    
Hannah Statz Devries, MD
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Phone: 605-322-5700    

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).

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