Andy Deetjeen, - Medicare Physician Assistant in Lauderhill, FL

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Andy Deetjeen, is a medicare enrolled "Physician Assistant" in Lauderhill, Florida. He graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Mulberry Medical Llc and his current practice location is 2451 Nw 41st Ave Apt 408, Lauderhill, Florida. You can reach out to his office (for appointments etc.) via phone at (646) 830-7804.

Andy Deetjeen is licensed to practice in * (Not Available) (license number ) 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 1053038976.

Contact Information

Andy Deetjeen,
2451 Nw 41st Ave Apt 408,
Lauderhill, FL 33313-3769
(646) 830-7804
Not Available

Map and Direction




Provider's Profile

Full NameAndy Deetjeen
GenderMale
SpecialityPhysician Assistant
Experience8 Years
Location2451 Nw 41st Ave Apt 408, Lauderhill, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Andy Deetjeen graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1053038976
  • Provider Enumeration Date: 10/21/2022
  • Last Update Date: 02/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7517493646
  • Enrollment ID: I20241211004757

Medical Identifiers

Medical identifiers for Andy Deetjeen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053038976NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Angels Care Home HealthCasa grande, AZHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mulberry Medical Llc236595445030

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Andy Deetjeen allows following entities to bill medicare on his behalf.
Entity NameLivi Medical Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457667750
PECOS PAC ID: 8820283039
Enrollment ID: O20101113000222
Entity NameMulberry Medical LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831980986
PECOS PAC ID: 2365954450
Enrollment ID: O20250624003688

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. Andy Deetjeen 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 AddressPractice Location Address
Andy Deetjeen,
714 Nw 62nd St,
Miami, FL 33150-4332

Ph: (786) 655-0529		Andy Deetjeen,
2451 Nw 41st Ave Apt 408,
Lauderhill, FL 33313-3769

Ph: (646) 830-7804

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.