Dr Karl William Helmold, MD - Medicare Orthopedic Surgery in Pottsville, PA

Dr Karl William Helmold, MD is a medicare enrolled "Orthopaedic Surgery" physician in Pottsville, Pennsylvania. He went to Rutgers New Jersey Medical School and graduated in 1988 and has 36 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Schuylkill Health System Medical Group, Inc. and his current practice location is 700 Schuylkill Manor Rd Ste 3, Pottsville, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 621-4440.

Dr Karl William Helmold is licensed to practice in Pennsylvania (license number MD053037L) 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 1912947797.

Contact Information

Dr Karl William Helmold, MD
700 Schuylkill Manor Rd Ste 3,
Pottsville, PA 17901
(570) 621-4440
(570) 621-4445

Map and Direction




Physician's Profile

Full NameDr Karl William Helmold
GenderMale
SpecialityOrthopedic Surgery
Experience36 Years
Location700 Schuylkill Manor Rd Ste 3, Pottsville, Pennsylvania
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:
  • Dr Karl William Helmold attended and graduated from Rutgers New Jersey Medical School in 1988
  NPI Data:
  • NPI Number: 1912947797
  • Provider Enumeration Date: 06/08/2006
  • Last Update Date: 09/26/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2860402823
  • Enrollment ID: I20080128000055

Medical Identifiers

Medical identifiers for Dr Karl William Helmold such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912947797NPI-NPPES
001466902-0001MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery MD053037L (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Schuylkill Medical Center - South Jackson StreetPottsville, PAHospital
St Luke's Miners Memorial HospitalCoaldale, PAHospital
Lehigh Valley HospitalAllentown, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Schuylkill Health System Medical Group, Inc.084028553287

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 Karl William Helmold allows following entities to bill medicare on his behalf.
Entity NameSchuylkill Health System Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588603567
PECOS PAC ID: 0840285532
Enrollment ID: O20040420001197
Entity NameHazleton Professional Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952464638
PECOS PAC ID: 8022110402
Enrollment ID: O20070305000195

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 Karl William Helmold 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 Karl William Helmold, MD
Po Box 783311,
Philadelphia, PA 19178-3311

Ph: (484) 884-4500
Dr Karl William Helmold, MD
700 Schuylkill Manor Rd Ste 3,
Pottsville, PA 17901

Ph: (570) 621-4440

Reviews and Comments


Orthopaedic Surgery Doctors in Pottsville, PA

Myron D Haas, DO
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 700 Schuylkill Manor Rd, Pottsville, PA 17901
Phone: 570-622-5672    Fax: 570-622-6099
Calvin D Stoudt, DO
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 700 Schuylkill Manor Rd, Suite 1, Pottsville, PA 17901
Phone: 570-622-5672    Fax: 570-622-6099
Dr. Robert P Boran, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 700 E Norwegian St, Pottsville, PA 17901
Phone: 570-621-4440    Fax: 570-621-4445
Dr. Jason Phillips, M.D.
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 48 Tunnel Rd, Suite 203, Pottsville, PA 17901
Phone: 570-624-4777    Fax: 570-624-4778
Thomas D Guastavino, MD
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 700 Schuylkill Manor Rd, Suite 1, Pottsville, PA 17901
Phone: 570-622-5672    Fax: 570-622-6099

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.