DR. MARK J DETZER PHD
NPI 1215032214
Psychologist - Clinical in White River Junction, VT
About Dr. Mark J Detzer Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARK J DETZER PHD (NPI 1215032214) is an individual clinical provider in White River Junction, Vermont, licensed in New Hampshire (854) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Vermont College Of Medicine (1992).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Mark J Detzer Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 05001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WHITE RIVER JUNCTION, VT 05001
WHITE RIVER JUNCTION, VT 05001
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mark Detzer's NPI number?
The NPI number for Mark Detzer is 1215032214. It was assigned to this individual provider in the NPPES registry on September 14, 2006.
Where is Mark Detzer located?
Mark Detzer practices at 85 N Main St Suite 200, White River Junction, VT 05001. The listed phone number is (802) 299-6498.
What is Mark Detzer's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Mark Detzer enrolled in Medicare?
Yes. Mark Detzer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Mark Detzer accept?
Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list Mark Detzer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mark Detzer was last updated on October 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Mark J Detzer, PHD · NPI 1215032214
Clinical provider in White River Junction, Vermont. Individual provider, active in the CMS NPPES registry since September 14, 2006.
## Identity
- **NPI:** 1215032214 (Entity type: Individual)
- **Enumerated:** September 14, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 854 (New Hampshire)
- **Sole proprietor:** No
## Practice location
- **Address:** 85 N MAIN ST, SUITE 200, White River Junction, VT 05001-7134
- **Phone:** (802) 299-6498 · **Fax:** (888) 972-1623
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** University Of Vermont College Of Medicine, class of 1992
## Record status
- **NPPES last updated:** October 4, 2013
---
Source: [NPI Profile](https://npiprofile.com/npi/1215032214) · Data from the CMS NPPES public registry.