Dr Mark Vincent Versella Jr, PHD - Medicare Psychologist in New Brunswick, NJ

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Dr Mark Vincent Versella Jr, PHD is a medicare enrolled "Psychologist - Cognitive & Behavioral" provider in New Brunswick, New Jersey. His current practice location is 317 George St, New Brunswick, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 235-8993.

Dr Mark Vincent Versella Jr is licensed to practice in New Jersey (license number 35SI00687800) 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 1568180958.

Contact Information

Dr Mark Vincent Versella Jr, PHD
317 George St,
New Brunswick, NJ 08901-2008
(732) 235-8993
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Mark Vincent Versella Jr
GenderMale
SpecialityPsychologist - Cognitive & Behavioral
Location317 George St, New Brunswick, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568180958
  • Provider Enumeration Date: 08/22/2022
  • Last Update Date: 05/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3375912074
  • Enrollment ID: I20221219001813

Medical Identifiers

Medical identifiers for Dr Mark Vincent Versella Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568180958NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TB0200XPsychologist - Cognitive & Behavioral PS019662 (Pennsylvania)Secondary
103TH0100XPsychologist - Health Service 35SI00687800 (New Jersey)Secondary
103TB0200XPsychologist - Cognitive & Behavioral 35SI00687800 (New Jersey)Primary
103TH0100XPsychologist - Health Service PS019662 (Pennsylvania)Secondary

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 Vincent Versella Jr allows following entities to bill medicare on his behalf.
Entity NameRutgers Health-pcc Monument Square
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912089731
PECOS PAC ID: 1052389582
Enrollment ID: O20040922000258

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 Vincent Versella Jr 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
Dr Mark Vincent Versella Jr, PHD
379 Campus Dr Fl 4,
Somerset, NJ 08873-1161

Ph: () -		Dr Mark Vincent Versella Jr, PHD
317 George St,
New Brunswick, NJ 08901-2008

Ph: (732) 235-8993

Reviews and Comments


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