James Gregg Helton, MD - Medicare Pediatrics in Oakland, CA

James Gregg Helton, MD is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Oakland, California. His current practice location is 747 52nd St, Cardiology, Oakland, California. You can reach out to his office (for appointments etc.) via phone at (510) 428-3294.

James Gregg Helton is licensed to practice in California (license number G62623) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235126749.

Contact Information

James Gregg Helton, MD
747 52nd St, Cardiology,
Oakland, CA 94609-1809
(510) 428-3294
(510) 428-3381

Map and Direction




Physician's Profile

Full NameJames Gregg Helton
GenderMale
SpecialityPediatrics - Pediatric Cardiology
Location747 52nd St, Oakland, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235126749
  • Provider Enumeration Date: 09/29/2005
  • Last Update Date: 06/26/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 1557341302
  • Enrollment ID: I20130220000129

Medical Identifiers

Medical identifiers for James Gregg Helton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235126749NPI-NPPES
00G626230MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0202XPediatrics - Pediatric Cardiology G62623 (California)Primary

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. James Gregg Helton allows following entities to bill medicare on his behalf.
Entity NameLpch Medical Group Div Of Lucile
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417907940
PECOS PAC ID: 0840298543
Enrollment ID: O20061113000232

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. James Gregg Helton 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
James Gregg Helton, MD
747 52nd St, Cardiology,
Oakland, CA 94609-1809

Ph: (510) 428-3294
James Gregg Helton, MD
747 52nd St, Cardiology,
Oakland, CA 94609-1809

Ph: (510) 428-3294

Reviews and Comments


Pediatrics Doctors in Oakland, CA

Mrs. Natalie Plotkin, MS, ACPNP
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 747 52nd St, Oakland, CA 94609
Phone: 510-428-3484    
Rebecca Romanov, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 747 52nd St, Oakland, CA 94609
Phone: 510-428-3331    Fax: 510-428-3331
Dr. Theodore John Chaconas, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 747 52nd St, Oakland, CA 94609
Phone: 510-428-3237    Fax: 510-601-3979
Dr. Robert E Mines Jr., M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 5715 Market St, Oakland, CA 94608
Phone: 510-652-5161    Fax: 510-652-4225
Spencer L Magargal, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 747 52nd St, Oakland, CA 94609
Phone: 510-428-3000    
Dr. Arathi Lakhole, M.D, M.P.H
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 747 52nd St, Oakland, CA 94609
Phone: 510-428-3058    
Kristen Lum, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 747 52nd St, Oakland, CA 94609
Phone: 510-428-3000    

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.

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