Dr Susan M Caldwell, MD - Medicare Pediatrics in Sioux City, IA

Dr Susan M Caldwell, MD is a medicare enrolled "Pediatrics" physician in Sioux City, Iowa. Her current practice location is 1125 Pierce St, Sioux City, Iowa. You can reach out to her office (for appointments etc.) via phone at (712) 255-8901.

Dr Susan M Caldwell is licensed to practice in Iowa (license number 30620) 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 1841297355.

Contact Information

Dr Susan M Caldwell, MD
1125 Pierce St,
Sioux City, IA 51105-1485
(712) 255-8901
(712) 255-9161

Map and Direction




Physician's Profile

Full NameDr Susan M Caldwell
GenderFemale
SpecialityPediatrics
Location1125 Pierce St, Sioux City, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1841297355
  • Provider Enumeration Date: 06/30/2005
  • Last Update Date: 08/28/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 7719986041
  • Enrollment ID: I20061213000403

Medical Identifiers

Medical identifiers for Dr Susan M Caldwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841297355NPI-NPPES
2163998MedicaidIA
1163998MedicaidIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 30620 (Iowa)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 Susan M Caldwell allows following entities to bill medicare on her behalf.
Entity NamePrairie Pediatrics Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306920319
PECOS PAC ID: 6800780719
Enrollment ID: O20040211000920

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 Susan M 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 Susan M Caldwell, MD
1125 Pierce St,
Sioux City, IA 51105-1485

Ph: (712) 255-8901
Dr Susan M Caldwell, MD
1125 Pierce St,
Sioux City, IA 51105-1485

Ph: (712) 255-8901

Reviews and Comments


Pediatrics Doctors in Sioux City, IA

Dr. Eyad K Najdawi, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1125 Pierce St, Sioux City, IA 51105
Phone: 712-255-8901    Fax: 712-255-9161
Dr. Sandra Kay Swedean Granger, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 5885 Sunnybrook Dr Ste E100, Sioux City, IA 51106
Phone: 712-662-2700    Fax: 712-266-2666
Dr. Jeremy Julian Granger, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 5885 Sunnybrook Dr Ste E100, Sioux City, IA 51106
Phone: 712-266-2700    Fax: 712-266-2666
Raul C Banagale, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2720 Stone Park Blvd, Sioux City, IA 51104
Phone: 712-279-3789    Fax: 712-279-3613
Dr. Aimee M Lorenz, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1125 Pierce St, Sioux City, IA 51105
Phone: 712-255-8901    Fax: 712-255-9161
Steven Paul Joyce, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 801 5th St, Sioux City, IA 51101
Phone: 712-279-2950    
Dr. Ray C Sturdevant, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2800 Pierce St, Suite 207, Sioux City, IA 51104
Phone: 712-255-8901    Fax: 712-255-9161

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.