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Jessica Dettra, P.A.

NPI 1467774554ActiveIndividual· Physician Assistant· Mesa, AZ

Physician Assistant (P.A.) with Good Health Medical PLLC, practicing in Mesa, Arizona. Their prescriptions cost Medicare Part D more than their services did: $144,215 for 1,234 claims, against $10,917 paid for services in 2024. Abbott Laboratories reported $108.50 in payments in 2025, mostly food and beverage.

Overview

NPI1467774554
StatusActive
Entity typeIndividual
CredentialP.A.
Sole proprietorNo
NPI issuedFeb 17, 2010
Last updated in NPPESFeb 17, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X4585AZ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (AZ)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients64
Services billed283 across 28 procedure codes
Paid by Medicare$10,917

Part D prescriptions in 2024

Prescriptions (claims)1,234 · 2,873 30-day fills
Patients227
Total drug cost$144,215
Generic share87% of claims

Medicare sources and data years

Education and affiliations

Graduation year2009
Medicare specialtyPhysician Assistant
TelehealthOffers telehealth

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$108.50 · 1 payment from 1 company

Top paying companies in 2025

CompanyAmountPayments
Abbott Laboratories$108.501

What the 2025 payments were for

  • Food and Beverage$108.50 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Mesa

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