Dr Helen R Thornton, MD - Medicare Family Practice in Gibsonia, PA

Dr Helen R Thornton, MD is a medicare enrolled "Family Medicine" physician in Gibsonia, Pennsylvania. She went to Jc Edwards School Of Medicine, Marshall University and graduated in 1985 and has 39 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Renaissance Family Practice-upmc, Inc and her current practice location is 5548 William Flynn Hwy, Gibsonia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (724) 444-6330.

Dr Helen R Thornton is licensed to practice in Pennsylvania (license number MD036525E) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558301697.

Contact Information

Dr Helen R Thornton, MD
5548 William Flynn Hwy,
Gibsonia, PA 15044-9315
(724) 444-6330
(724) 444-0607

Map and Direction




Physician's Profile

Full NameDr Helen R Thornton
GenderFemale
SpecialityFamily Practice
Experience39 Years
Location5548 William Flynn Hwy, Gibsonia, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Helen R Thornton attended and graduated from Jc Edwards School Of Medicine, Marshall University in 1985
  NPI Data:
  • NPI Number: 1558301697
  • Provider Enumeration Date: 06/07/2006
  • Last Update Date: 09/14/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 2365431905
  • Enrollment ID: I20040510000686

Medical Identifiers

Medical identifiers for Dr Helen R Thornton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558301697NPI-NPPES
035352OtherPAHIGHMARK
0011481760001MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD036525E (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Magee Womens Hospital Of Upmc Health SystemPittsburgh, PAHospital
Upmc St MargaretPittsburgh, PAHospital
Upmc PassavantPittsburgh, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Renaissance Family Practice-upmc, Inc701208555845

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 Helen R Thornton allows following entities to bill medicare on her behalf.
Entity NameUpmc Community Medicine Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558976092
PECOS PAC ID: 2062318975
Enrollment ID: O20040217000388
Entity NameRenaissance Family Practice-upmc, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467616813
PECOS PAC ID: 7012085558
Enrollment ID: O20081010000052

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 Helen R Thornton 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 Helen R Thornton, MD
5548 Wm Flynn Highway,
Gibsonia, PA 15044

Ph: (724) 444-6330
Dr Helen R Thornton, MD
5548 William Flynn Hwy,
Gibsonia, PA 15044-9315

Ph: (724) 444-6330

Reviews and Comments


Family Medicine Doctors in Gibsonia, PA

Dr. Sarah M Gilmour, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5548 William Flynn Hwy, Gibsonia, PA 15044
Phone: 724-444-6330    Fax: 724-444-0607
Mary Catherine Dillon,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5830 Meridian Rd, Gibsonia, PA 15044
Phone: 724-443-0800    
Dr. Andrew C Fackler, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5548 William Flynn Hwy, Gibsonia, PA 15044
Phone: 724-444-6330    Fax: 724-444-0607
Dr. Richard D Bruehlman, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5548 William Flynn Hwy, Gibsonia, PA 15044
Phone: 724-444-6330    Fax: 724-444-0607
Dr. Joshua Lee Lester, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5375 William Flynn Hwy, Gibsonia, PA 15044
Phone: 724-444-4700    Fax: 724-444-4730
Dr. John Anthony Szafranski, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3887 Grove Rd, Gibsonia, PA 15044
Phone: 724-444-3168    

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.