Dr Mark J Detzer, PHD in White River Junction, VT - Medicare Psychologist Provider

Dr Mark J Detzer, PHD is a medicare enrolled "Psychologist - Clinical" provider in White River Junction, Vermont. His current practice location is 85 N Main St, Suite 200, White River Junction, Vermont. You can reach out to his office (for appointments etc.) via phone at (802) 299-6498.

Dr Mark J Detzer is licensed to practice in New Hampshire (license number 854) 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 1215032214.

Contact Information

	Dr Mark J Detzer, PHD
	85 N Main St, Suite 200, White River Junction, VT 05001-7134
	(802) 299-6498
	(888) 972-1623

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mark J Detzer
Gender	Male
Speciality	Psychologist - Clinical
Location	85 N Main St, White River Junction, Vermont
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215032214
Provider Enumeration Date: 09/14/2006
Last Update Date: 10/04/2013

Medicare PECOS Information:

PECOS PAC ID: 8921481433
Enrollment ID: I20220816003260

Medical Identifiers

Medical identifiers for Dr Mark J Detzer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215032214	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	854 (New Hampshire)	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. Dr Mark J Detzer allows following entities to bill medicare on his behalf.

Entity Name	Northeastern Vermont Regional Hospital Inc
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1760773774 PECOS PAC ID: 3678481405 Enrollment ID: O20110607000721

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 Mark J Detzer 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
Dr Mark J Detzer, PHD Po Box 712, White River Junction, VT 05001-0712 Ph: (802) 299-6498	Dr Mark J Detzer, PHD 85 N Main St, Suite 200, White River Junction, VT 05001-7134 Ph: (802) 299-6498

Reviews and Comments

Psychologist in White River Junction, VT

Dr. Brittany Nicole Norris, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 215 N Main St, White River Junction, VT 05009 Phone: 802-295-9363
Dr. Maha Helen Zayed, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 215 N Main St, 11q, White River Junction, VT 05009 Phone: 802-295-9363
Shari Lieblich, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 163 Veterans Dr, White River Junction, VT 05001 Phone: 802-295-9363
Dr. Amanda Kutz, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 215 Main St, White River Junction, VT 05009 Phone: 802-295-9363
Dr. Peter Donald Mills, PH.D., M.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11q Vamc White River Jct, 215 N. Main Street, White River Junction, VT 05009 Phone: 802-295-9363 Fax: 802-291-6286
Dr. Jessica Lynn Price, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 215 N Main St, White River Junction, VT 05009 Phone: 802-295-9363

Dr Mark J Detzer, PHD - Medicare Psychologist in White River Junction, VT