Dr James Doyle Helsley, MD - Medicare Family Practice in Hancock, MD

Dr James Doyle Helsley, MD is a medicare enrolled "Family Medicine" physician in Hancock, Maryland. He went to West Virginia University School Of Medicine and graduated in 1977 and has 47 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Tri-state Community Health Center Inc, Tri-state Community Health Center Inc and his current practice location is 109 Rayloc Dr, Hancock, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 678-5187.

Dr James Doyle Helsley is licensed to practice in Maryland (license number D0074708) 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 1609904432.

Contact Information

Dr James Doyle Helsley, MD
109 Rayloc Dr,
Hancock, MD 21750-1518
(301) 678-5187
Not Available

Map and Direction




Physician's Profile

Full NameDr James Doyle Helsley
GenderMale
SpecialityFamily Practice
Experience47 Years
Location109 Rayloc Dr, Hancock, Maryland
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 James Doyle Helsley attended and graduated from West Virginia University School Of Medicine in 1977
  NPI Data:
  • NPI Number: 1609904432
  • Provider Enumeration Date: 03/01/2007
  • Last Update Date: 04/12/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5496930323
  • Enrollment ID: I20160426000839

Medical Identifiers

Medical identifiers for Dr James Doyle Helsley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609904432NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine D0074708 (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tri-state Community Health Center Inc933505735518
Tri-state Community Health Center Inc933505735518

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 James Doyle Helsley allows following entities to bill medicare on his behalf.
Entity NameTri-state Community Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366491201
PECOS PAC ID: 9335057355
Enrollment ID: O20040219000462

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 James Doyle Helsley 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 James Doyle Helsley, MD
109 Rayloc Dr,
Hancock, MD 21750-1518

Ph: (301) 678-5187
Dr James Doyle Helsley, MD
109 Rayloc Dr,
Hancock, MD 21750-1518

Ph: (301) 678-5187

Reviews and Comments


Family Medicine Doctors in Hancock, MD

Dr. Philip Cornelius Breen, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 109 Rayloc Dr, Hancock, MD 21750
Phone: 301-678-5187    Fax: 301-678-5797
Liza Hiles, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 351 N Pennsylvania Ave, Hancock, MD 21750
Phone: 301-678-2901    Fax: 240-752-6000
Dr. Matthew Abner Hahn, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 131 N Pennsylvania Ave, Hancock, MD 21750
Phone: 301-678-7007    Fax: 301-678-7009

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.