Dr Paul Joseph Helmuth, MD - Medicare Internal Medicine in Springfield, MA

Dr Paul Joseph Helmuth, MD is a medicare enrolled "Internal Medicine" physician in Springfield, Massachusetts. He went to Northeastern Ohio University College Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Valley Medical Associates, Pc and his current practice location is 3640 Main St, Suite 207, Springfield, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (413) 739-0669.

Dr Paul Joseph Helmuth is licensed to practice in Massachusetts (license number 81068) 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 1609956085.

Contact Information

Dr Paul Joseph Helmuth, MD
3640 Main St, Suite 207,
Springfield, MA 01107-1145
(413) 739-0669
(413) 739-0621

Map and Direction




Physician's Profile

Full NameDr Paul Joseph Helmuth
GenderMale
SpecialityInternal Medicine
Experience32 Years
Location3640 Main St, Springfield, Massachusetts
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 Paul Joseph Helmuth attended and graduated from Northeastern Ohio University College Of Medicine in 1992
  NPI Data:
  • NPI Number: 1609956085
  • Provider Enumeration Date: 10/17/2006
  • Last Update Date: 07/13/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 3779545090
  • Enrollment ID: I20050613000852

Medical Identifiers

Medical identifiers for Dr Paul Joseph Helmuth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609956085NPI-NPPES
081068OtherMACONNECTICARE
J16736OtherMABLUE CROSS
3155561MedicaidMA
005129523OtherMAAETNA
38540OtherMACHILDRENS MEDICAL SECURIT
6551222OtherMACIGNA
66087OtherMAHARVARD PILGRIM
000000022120OtherMABMC HEALTHNET
081068OtherMATUFTS
18629OtherMAHEALTH NEW ENGLAND
110199716OtherMARAILROAD MEDICARE
98308101OtherMANETWORK HEALTHNET

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 81068 (Massachusetts)Primary
208000000XPediatrics 81068 (Massachusetts)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baystate Medical CenterSpringfield, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Valley Medical Associates, Pc50927773009

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 Paul Joseph Helmuth allows following entities to bill medicare on his behalf.
Entity NameValley Medical Associates, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093897852
PECOS PAC ID: 5092777300
Enrollment ID: O20041029000261

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 Paul Joseph Helmuth 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 Paul Joseph Helmuth, MD
3640 Main St, Suite 207,
Springfield, MA 01107-1145

Ph: (413) 739-0669
Dr Paul Joseph Helmuth, MD
3640 Main St, Suite 207,
Springfield, MA 01107-1145

Ph: (413) 739-0669

Reviews and Comments


Internal Medicine Doctors in Springfield, MA

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Dr. Sun Tien Lin, M.D.
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Phone: 413-788-4321    Fax: 413-788-8877

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.