Dr Mary Deitch, JD, PSYD is a medicare enrolled "Psychologist" provider in Woodlyn, Pennsylvania. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice The Growth And Recovery Center Inc. and her current practice location is
1112 Macdade Blvd, Woodlyn, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 945-8021.
Dr Mary Deitch is licensed to practice in Pennsylvania (license number PS016151) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073987186.
Healthcare Provider's Profile
| Full Name | Dr Mary Deitch |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 19 Years |
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| Location | 1112 Macdade Blvd, Woodlyn, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mary Deitch graduated from medical school in 2005
NPI Data:
- NPI Number: 1073987186
- Provider Enumeration Date: 12/01/2015
- Last Update Date: 12/01/2015
Medicare PECOS Information:
- PECOS PAC ID: 6608156914
- Enrollment ID: I20161202000975
Medical Identifiers
Medical identifiers for Dr Mary Deitch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073987186 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | PS016151 (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| The Growth And Recovery Center Inc. | 7214074681 | 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 Mary Deitch allows following entities to bill medicare on her behalf.
| Entity Name | The Growth And Recovery Center Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275764524
PECOS PAC ID: 7214074681
Enrollment ID: O20091019000062 |
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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 Mary Deitch 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 Mary Deitch, JD, PSYD
1112 Macdade Blvd,
Woodlyn, PA 19094-1322
Ph: (610) 945-8021 | Dr Mary Deitch, JD, PSYD
1112 Macdade Blvd,
Woodlyn, PA 19094-1322
Ph: (610) 945-8021 |
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