Dr Thomas Paul Dettmer, PSYD | |
6223 Constitution Dr, Fort Wayne, IN 46804-1517 | |
(260) 755-5896 | |
Not Available |
Full Name | Dr Thomas Paul Dettmer |
---|---|
Gender | Male |
Speciality | Clinical Psychologist |
Experience | 15 Years |
Location | 6223 Constitution Dr, Fort Wayne, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750519377 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 39002939A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aberdeen Group Llc | 5597922757 | 8 |
Entity Name | Aberdeen Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124302237 PECOS PAC ID: 5597922757 Enrollment ID: O20120131000698 |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas Paul Dettmer, PSYD 1614 Alabama Ave, Fort Wayne, IN 46805-5012 Ph: (260) 609-7007 | Dr Thomas Paul Dettmer, PSYD 6223 Constitution Dr, Fort Wayne, IN 46804-1517 Ph: (260) 755-5896 |
Ms. Shauna Marie Croarkin, ED.S., NCSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1200 Barr St, Fort Wayne, IN 46802 Phone: 260-467-1124 Fax: 260-467-1188 | |
Amanda L Mayle, PSY.D., HSPP Psychologist Medicare: Medicare Enrolled Practice Location: 11141 Parkview Plaza Dr Ste 210, Fort Wayne, IN 46845 Phone: 260-266-5400 Fax: 260-266-5409 | |
Dr. Michelle Renne Miller, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4630 W Jefferson Blvd, Ste 11a, Fort Wayne, IN 46804 Phone: 260-434-1606 Fax: 260-434-1612 | |
Dr. Victor L Rebman, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1910 Saint Joe Center Rd, Office #63, Fort Wayne, IN 46825 Phone: 260-471-9902 Fax: 260-471-9902 | |
Michele Lynn Grimm, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1200 S Clinton St, Fort Wayne, IN 46802 Phone: 260-467-1150 Fax: 260-467-1188 | |
Jason T. Cook, PSY.D., HSPP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7230 Engle Rd, Ste 304, Fort Wayne, IN 46804 Phone: 260-483-2400 Fax: 260-960-9361 | |
Dr. Galen Arthur Yordy, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2805 Fairfield Ave, Fort Wayne, IN 46807 Phone: 260-456-4880 Fax: 260-456-3559 |