Doctor profile · Federal record
Dr. John Deetjen, PA-C
Physician Assistant · Fort Worth, TX
- NPI 1508556028
- Accepts Medicare
- 3 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1201 Fairmount Ave
Fort Worth, TX 761044215
(817) 335-5288
fax (817) 338-0927 - Mailing address
-
6100 Harris Pkwy Ste 285
Fort Worth, TX 761324127
Credentials & registration
- NPI registered
- May 2023 — 3 yrs on file
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1508556028. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$256
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abiomed | 2 | $255.88 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. John Deetjen's medical specialty?
Dr. John Deetjen practices Physician Assistant in Fort Worth, TX.
Where does Dr. John Deetjen practice?
Dr. John Deetjen practices at 1201 Fairmount Ave, Fort Worth, TX 761044215. Office phone: 8173355288.
What is Dr. John Deetjen's NPI?
Dr. John Deetjen's National Provider Identifier (NPI) is 1508556028, issued by NPPES.
Does Dr. John Deetjen accept Medicare assignment?
Yes. Dr. John Deetjen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.