JOHN DAVID DEETJEN PA-C
NPI 1508556028
Physician Assistant in Fort Worth, TX
About John David Deetjen Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN DAVID DEETJEN PA-C (NPI 1508556028) is an individual physician assistant in Fort Worth, Texas and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and is a graduate of Other (2023).
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
John David Deetjen Pa-c 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 3
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Texas Health Harris Methodist Hospital Fort Worth
Acute Care Hospitals · Fort Worth, TXMedical City Arlington
Acute Care Hospitals · Arlington, TXTexas Health Harris Methodist Hospital Southwest F
Acute Care Hospitals · Fort Worth, TXTexas Health Heart & Vascular Hospital Arlington
Acute Care Hospitals · Arlington, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76104 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
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 John Deetjen's NPI number?
The NPI number for John Deetjen is 1508556028. It was assigned to this individual provider in the NPPES registry on May 9, 2023.
Where is John Deetjen located?
John Deetjen practices at 1201 Fairmount Ave, Fort Worth, TX 76104. The listed phone number is (817) 335-5288.
What is John Deetjen's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is John Deetjen enrolled in Medicare?
Yes. John Deetjen 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 John Deetjen accept?
Health plans from Blue Cross and Blue Shield of Texas list John Deetjen 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.
Is John Deetjen affiliated with any hospitals?
According to CMS data, John Deetjen is affiliated with Texas Health Harris Methodist Hospital Fort Worth, Medical City Arlington, Texas Health Harris Methodist Hospital Southwest F and Texas Health Heart & Vascular Hospital Arlington.
When was this NPI record last updated?
The NPPES record for John Deetjen was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# John David Deetjen, PA-C · NPI 1508556028
Physician Assistant physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since May 9, 2023.
## Identity
- **NPI:** 1508556028 (Entity type: Individual)
- **Enumerated:** May 9, 2023
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1201 FAIRMOUNT AVE, Fort Worth, TX 76104-4215
- **Phone:** (817) 335-5288 · **Fax:** (817) 338-0927
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** May 9, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1508556028) · Data from the CMS NPPES public registry.