Mr Jason B Detzel, BCBA is a
Counselor - Mental Health based in Ghent, New York. Mr Jason B Detzel is licensed to practice in * (Not Available) (license number ) and his current practice location is
151 May Hill Rd, Ghent, New York. He can be reached at his office (for appointments etc.) via phone at
(518) 567-4506.
NPI number for Mr Jason B Detzel is 1558699553 and his current mailing address is 151 May Hill Rd, Ghent, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558699553.
Healthcare Provider's Profile
Full Name | Mr Jason B Detzel |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 151 May Hill Rd, Ghent, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558699553
- Provider Enumeration Date: 12/02/2009
- Last Update Date: 05/16/2014
Medical Identifiers
Medical identifiers for Mr Jason B Detzel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558699553 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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 Jason B Detzel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Jason B Detzel, BCBA 151 May Hill Rd, Ghent, NY 12075-1912 Ph: (518) 567-4506 | Mr Jason B Detzel, BCBA 151 May Hill Rd, Ghent, NY 12075-1912 Ph: (518) 567-4506 |
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