Dr Carrie Ditzel, PHD is a medicare enrolled "Psychologist" provider in Hasbrouck Heights, New Jersey. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Baker Street Behavioral Health and her current practice location is
601 Flaghouse Dr, Hasbrouck Heights, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 381-6136.
Dr Carrie Ditzel is licensed to practice in New Jersey (license number 4937) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1093983850.
Healthcare Provider's Profile
| Full Name | Dr Carrie Ditzel |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 18 Years |
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| Location | 601 Flaghouse Dr, Hasbrouck Heights, New Jersey |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Carrie Ditzel graduated from medical school in 2006
NPI Data:
- NPI Number: 1093983850
- Provider Enumeration Date: 02/14/2008
- Last Update Date: 01/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 1052483120
- Enrollment ID: I20130618000691
Medical Identifiers
Medical identifiers for Dr Carrie Ditzel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093983850 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | 0174721 (New York) | Secondary |
| 103T00000X | Psychologist | 4937 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Baker Street Behavioral Health | 3476945098 | 3 |
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 Carrie Ditzel allows following entities to bill medicare on her behalf.
| Entity Name | Baker Street Behavioral Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659841096
PECOS PAC ID: 3476945098
Enrollment ID: O20220111002111 |
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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 Carrie Ditzel 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 Address | Practice Location Address |
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Dr Carrie Ditzel, PHD
851 Franklin Lake Rd Ste 204,
Franklin Lakes, NJ 07417-2267
Ph: () - | Dr Carrie Ditzel, PHD
601 Flaghouse Dr,
Hasbrouck Heights, NJ 07604-3118
Ph: (201) 381-6136 |
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