Mr Shawn R Culey, MD - Medicare Family Practice in Sioux Falls, SD

Mr Shawn R Culey, MD is a medicare enrolled "Family Medicine" physician in Sioux Falls, South Dakota. He went to Sanford School Of Medicine Of University Of South Dakota and graduated in 1989 and has 35 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Allina Health System and his current practice location is 4011 W Benson Rd, Sioux Falls, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 322-1500.

Mr Shawn R Culey is licensed to practice in South Dakota (license number 3579) 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 1063480390.

Contact Information

Mr Shawn R Culey, MD
4011 W Benson Rd,
Sioux Falls, SD 57107-0104
(605) 322-1500
Not Available

Map and Direction




Physician's Profile

Full NameMr Shawn R Culey
GenderMale
SpecialityFamily Practice
Experience35 Years
Location4011 W Benson Rd, 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:
  • Mr Shawn R Culey attended and graduated from Sanford School Of Medicine Of University Of South Dakota in 1989
  NPI Data:
  • NPI Number: 1063480390
  • Provider Enumeration Date: 03/11/2006
  • Last Update Date: 11/09/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1456423789
  • Enrollment ID: I20181031001026

Medical Identifiers

Medical identifiers for Mr Shawn R Culey such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063480390NPI-NPPES
5609089MedicaidSD
S102518OtherSDMEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 3579 (South Dakota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Allina Health System45875736133071

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. Mr Shawn R Culey allows following entities to bill medicare on his behalf.
Entity NameSt Francis Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447605514
PECOS PAC ID: 7214821909
Enrollment ID: O20040212000408
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457657249
PECOS PAC ID: 4587573613
Enrollment ID: O20221213001713

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. Mr Shawn R Culey 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
Mr Shawn R Culey, MD
Po Box 86430,
Sioux Falls, SD 57118-6430

Ph: (605) 322-4900
Mr Shawn R Culey, MD
4011 W Benson Rd,
Sioux Falls, SD 57107-0104

Ph: (605) 322-1500

Reviews and Comments


Family Medicine Doctors in Sioux Falls, SD

Dr. Jorge E Patino-buelvas, M.D.
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Glenn A. Ridder, MD
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Mark Nelson Beard, MD
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Sarah Boschee Krush, NP-C
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Jennifer A. Schriever, MD
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Practice Location: 4405 E 26th St, Sioux Falls, SD 57103
Phone: 605-328-9000    Fax: 605-328-9001
Heidi Feistner-leuning, M.D.
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Practice Location: 2100 S Marion Rd, Sioux Falls, SD 57106
Phone: 605-322-1010    
Tyler Lee Faber,
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Medicare: Accepting Medicare Assignments
Practice Location: 1115 E 20th St, Sioux Falls, SD 57105
Phone: 605-357-1306    

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.