Kelly George Mccaul, MD - Medicare Hematology in Sioux Falls, SD

Kelly George Mccaul, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Sioux Falls, South Dakota. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Hematology. He is a member of the group practice University Health System, Inc. and his current practice location is 1000 E. 23rd St., Ste. 200, Sioux Falls, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 322-3035.

Kelly George Mccaul is licensed to practice in South Dakota (license number 4717) 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 1295701522.

Contact Information

Kelly George Mccaul, MD
1000 E. 23rd St., Ste. 200,
Sioux Falls, SD 57105-2122
(605) 322-3035
(605) 322-3036

Map and Direction




Physician's Profile

Full NameKelly George Mccaul
GenderMale
SpecialityHematology
Experience32 Years
Location1000 E. 23rd St., Sioux Falls, South Dakota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly George Mccaul graduated from medical school in 1992
  NPI Data:
  • NPI Number: 1295701522
  • Provider Enumeration Date: 02/27/2006
  • Last Update Date: 10/16/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2668497850
  • Enrollment ID: I20210614002389

Medical Identifiers

Medical identifiers for Kelly George Mccaul such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295701522NPI-NPPES
46022474342MedicaidNE
0007443OtherSDBLUE CROSS
0536219MedicaidIA
678061025597OtherSDPREFERRED ONE
74Q10MCOtherMNCC SYSTEMS/ BLUE PLUS
3000020OtherSDMEDICA
57105AH02OtherSDWPS TRICARE
74Q10MCOtherMNBLUE CROSS
26746OtherSDMIDLANDS CHOICE
28222OtherSDSANFORD HEALTH PLAN
1109863OtherSDARAZ/ AMERICA'S PPO
4717OtherSDDAKOTACARE
6630680MedicaidSD
820000376OtherSDRR MEDICARE
92411422911OtherMNPRIMEWEST
143425000MedicaidMN
370624200OtherSDDEPT OF LABOR
HP32347OtherSDHEALTHPARTNERS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RH0003XInternal Medicine - Hematology & Oncology 4717 (South Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Tn Medical CenterKnoxville, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Health System, Inc.5294646378526

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. Kelly George Mccaul allows following entities to bill medicare on his behalf.
Entity NameUniversity Health System, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790738763
PECOS PAC ID: 5294646378
Enrollment ID: O20031111000809

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. Kelly George Mccaul 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
Kelly George Mccaul, MD
Po Box 86370,
Sioux Falls, SD 57118-6370

Ph: (605) 322-7510
Kelly George Mccaul, MD
1000 E. 23rd St., Ste. 200,
Sioux Falls, SD 57105-2122

Ph: (605) 322-3035

Reviews and Comments


Internal Medicine Doctors in Sioux Falls, SD

Jaroslaw Mateuszczyk, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 1205 S Grange Ave Ste 201, Sioux Falls, SD 57105
Phone: 605-328-8188    
Aaron Burkhardt, DO
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 6100 S Louise Ave Ste 1120, Sioux Falls, SD 57108
Phone: 605-504-1700    
Curtis Blake Rexroth,
Hematology & Oncology
Medicare: Medicare Enrolled
Practice Location: 1325 S Cliff Ave, Sioux Falls, SD 57105
Phone: 605-322-8000    
Vinod Parameswaran, M.D.
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 1000 E. 23rd St., Ste. 200, Sioux Falls, SD 57105
Phone: 605-322-3035    Fax: 605-322-3036
Lloyd E Solberg, M.D.
Hematology & Oncology
Medicare: Not Enrolled in Medicare
Practice Location: 1301 W 18th St, Sioux Falls, SD 57105
Phone: 605-312-2200    
Ismail Omran,
Hematology & Oncology
Medicare: Medicare Enrolled
Practice Location: 1205 S Grange Ave Ste 201, Sioux Falls, SD 57105
Phone: 605-238-8100    
Francine Vanessa Arneson, MD
Hematology & Oncology
Medicare: Accepting Medicare Assignments
Practice Location: 911 E. 20th St., Ste. 509, Sioux Falls, SD 57105
Phone: 605-322-8993    

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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