Paul J Deitering, PA-C in Portland, OR - Medicare Physician Assistant

Paul J Deitering, PA-C is a medicare enrolled "Physician Assistant" physician in Portland, Oregon. He graduated from medical school in 2000 and has 25 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.

Contact Information

	Paul J Deitering, PA-C
	9427 Sw Barnes Rd, Suite 490, Portland, OR 97225-6652
	(503) 291-2123
	(503) 292-1860

Map and Direction

Physician's Profile

Full Name	Paul J Deitering
Gender	Male
Speciality	Physician Assistant
Experience	25 Years
Location	9427 Sw Barnes Rd, Portland, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

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
207RC0001X	Internal Medicine - Clinical Cardiac Electrophysiology	PA00711 (Oregon)	Secondary
363A00000X	Physician Assistant	PA00711 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence St Vincent Medical Center	Portland, OR	Hospital
Providence Seaside Hospital	Seaside, OR	Hospital
Providence Portland Medical Center	Portland, OR	Hospital
Providence Newberg Medical Center	Newberg, OR	Hospital
Adventist Health Tillamook	Tillamook, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services Oregon	0648183608	1338

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

Paul J Deitering, PA-C - Medicare Physician Assistant in Portland, OR