Paul J Deitering, PA-C is a medicare enrolled "Physician Assistant" physician in Portland, Oregon. He graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Providence Health And Services Oregon and his current practice location is
9427 Sw Barnes Rd, Suite 490, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 291-2123.
Paul J Deitering is licensed to practice in Oregon (license number PA00711) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1598701690.
Physician's Profile
| Full Name | Paul J Deitering |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 24 Years |
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| Location | 9427 Sw Barnes Rd, Portland, Oregon |
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| Accepts Medicare Assignments | Yes. He 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:
- Paul J Deitering graduated from medical school in 2000
NPI Data:
- NPI Number: 1598701690
- Provider Enumeration Date: 06/20/2006
- Last Update Date: 03/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 1052396207
- Enrollment ID: I20040622000319
Medical Identifiers
Medical identifiers for Paul J Deitering such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598701690 | NPI | - | NPPES |
| 286755 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RC0001X | Internal Medicine - Clinical Cardiac Electrophysiology | PA00711 (Oregon) | Secondary |
| 363A00000X | Physician Assistant | PA00711 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Providence Health And Services Oregon | 0648183608 | 1344 |
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. Paul J Deitering 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 |
|---|
Paul J Deitering, PA-C
Po Box 3158,
Portland, OR 97208-3158
Ph: (503) 215-6494 | Paul J Deitering, PA-C
9427 Sw Barnes Rd, Suite 490,
Portland, OR 97225-6652
Ph: (503) 291-2123 |
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