Mr Derek Heldzinger, MD - Medicare Family Practice in Dalton, GA

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Mr Derek Heldzinger, MD is a medicare enrolled "Family Medicine" physician in Dalton, Georgia. He graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Utm Of Georgia Physicians Llc and his current practice location is 1107 Memorial Dr Ste 201, Dalton, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 277-7311.

Mr Derek Heldzinger is licensed to practice in Georgia (license number 65259) 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 1336442037.

Contact Information

Mr Derek Heldzinger, MD
1107 Memorial Dr Ste 201,
Dalton, GA 30720-8662
(706) 277-7311
(706) 272-3512

Map and Direction




Physician's Profile

Full NameMr Derek Heldzinger
GenderMale
SpecialityFamily Practice
Experience37 Years
Location1107 Memorial Dr Ste 201, Dalton, Georgia
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:
  • Mr Derek Heldzinger graduated from medical school in 1987
  NPI Data:
  • NPI Number: 1336442037
  • Provider Enumeration Date: 12/18/2010
  • Last Update Date: 02/28/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6002078623
  • Enrollment ID: I20120427000071

Medical Identifiers

Medical identifiers for Mr Derek Heldzinger such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336442037NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 65259 (Georgia)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. Mr Derek Heldzinger allows following entities to bill medicare on his behalf.
Entity NameSkin Cancer & Cosmetic Dermatology Center Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376605394
PECOS PAC ID: 3375591209
Enrollment ID: O20050107000373
Entity NameAfc Physicians Of Georgia Primary Care, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780062380
PECOS PAC ID: 3072818095
Enrollment ID: O20160229001243
Entity NameUtm Of Georgia Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255893038
PECOS PAC ID: 5991138307
Enrollment ID: O20191125002037
Entity NameDerek Heldzinger Professional Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508495326
PECOS PAC ID: 0143650580
Enrollment ID: O20200425000067

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. Mr Derek Heldzinger 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
Mr Derek Heldzinger, MD
743 Banther Rd,
Mc Donald, TN 37353-5024

Ph: (423) 827-9222		Mr Derek Heldzinger, MD
1107 Memorial Dr Ste 201,
Dalton, GA 30720-8662

Ph: (706) 277-7311

Reviews and Comments


Family Medicine Doctors in Dalton, GA

Dr. William S Mayberry, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2709 Airport Rd, Suite 101, Dalton, GA 30721
Phone: 706-275-4444    Fax: 706-275-6515
Alejandra Staubs, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1240 N Thornton Ave, Dalton, GA 30720
Phone: 706-229-9313    Fax: 706-229-9388
Dr. James R Zuppa, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 102 N Oaks Dr, Dalton, GA 30721
Phone: 706-270-9989    Fax: 706-259-9601
David H. Drucker, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1308 Memorial Dr, Suite 2, Dalton, GA 30720
Phone: 706-278-0880    Fax: 706-278-0859
Benjamin Smith, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Memorial Dr, Dalton, GA 30720
Phone: 706-272-6000    
Dr. William T Boyett Jr., M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 914 Vista Drive, Dalton, GA 30721
Phone: 706-226-3139    Fax: 706-278-6606
Dr. Lisa Irene Griggs, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 902 Clark St, Dalton, GA 30720
Phone: 706-529-3245    Fax: 706-272-6077

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.