Andy Deetjeen
NPI 1053038976ActiveIndividual· Physician Assistant· Lauderhill, FL
Physician Assistant with Mulberry Medical LLC, practicing in Lauderhill, Florida. Part D covered 95 prescriptions written in 2024, 89% of them generic.
Overview
| NPI | 1053038976 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 21, 2022 |
| Last updated in NPPES | Feb 3, 2023 |
| Certified by provider | Feb 3, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (AZ) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 95 · 124 30-day fills |
|---|---|
| Patients | 34 |
| Total drug cost | $9,780 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Mulberry Medical LLCTempe, AZ · 28 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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