Dr Craig Joseph Helm, MD - Medicare Ophthalmology in Valencia, CA

Dr Craig Joseph Helm, MD is a medicare enrolled "Ophthalmology" physician in Valencia, California. He went to Tulane University School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Ophthalmology. He is a member of the group practice Craig Helm M D A Professional Corporation and his current practice location is 27420 Tourney Road, Suite 100, Valencia, California. You can reach out to his office (for appointments etc.) via phone at (661) 259-3937.

Dr Craig Joseph Helm is licensed to practice in California (license number A46407) 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 1588678791.

Contact Information

Dr Craig Joseph Helm, MD
27420 Tourney Road, Suite 100,
Valencia, CA 91355-5631
(661) 259-3937
(661) 259-3904

Map and Direction




Physician's Profile

Full NameDr Craig Joseph Helm
GenderMale
SpecialityOphthalmology
Experience36 Years
Location27420 Tourney Road, Valencia, California
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 Craig Joseph Helm attended and graduated from Tulane University School Of Medicine in 1988
  NPI Data:
  • NPI Number: 1588678791
  • Provider Enumeration Date: 07/27/2006
  • Last Update Date: 05/29/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2961422712
  • Enrollment ID: I20051123000215

Medical Identifiers

Medical identifiers for Dr Craig Joseph Helm such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588678791NPI-NPPES
00A464070MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology A46407 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Craig Helm M D A Professional Corporation236558891010

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 Craig Joseph Helm allows following entities to bill medicare on his behalf.
Entity NameCraig Helm M D A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982759734
PECOS PAC ID: 2365588910
Enrollment ID: O20091013000018

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 Craig Joseph Helm 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 Craig Joseph Helm, MD
27420 Tourney Road, Suite 100,
Valencia, CA 91355-5631

Ph: (661) 259-3937
Dr Craig Joseph Helm, MD
27420 Tourney Road, Suite 100,
Valencia, CA 91355-5631

Ph: (661) 259-3937

Reviews and Comments


Ophthalmology Doctors in Valencia, CA

Dr. Brian Ronald Gross, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 27420 Tourney Rd, Suite 100, Valencia, CA 91355
Phone: 661-259-3937    Fax: 661-259-3904
Julia Sein, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 27335 Tourney Rd Ste 210, Valencia, CA 91355
Phone: 661-455-7797    Fax: 661-455-8477
Dr. Nathan J Abraham, M.D.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 23501 Cinema Dr Ste 116, Valencia, CA 91355
Phone: 661-977-7377    Fax: 661-425-7287
Douglas Marshall Engh, M.D. ,F.A.C.S., INC.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 25775 Mcbean Pkwy, Suite 208, Valencia, CA 91355
Phone: 661-253-5000    Fax: 661-259-9467
Dr. Sara C. Jones-gomberg, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 27420 Tourney Rd, Suite 100, Valencia, CA 91355
Phone: 661-259-3937    
Dr. Evelyn Tran, MD
Ophthalmology
Medicare: Medicare Enrolled
Practice Location: 27420 Tourney Rd Ste 100, Valencia, CA 91355
Phone: 661-259-3937    Fax: 661-259-3904

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.