Matthew Robert Dettra, PA-C is a medical physician assistant in Fort Washington, PA with 5 years of experience. Matthew Robert Dettra, PA-C NPI is 1760041636. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
455 PENNSYLVANIA AVE STE 127
FORT WASHINGTON, PA
ZIP 19034-409
Phone: (215) 793-9755
Fax: (215) 412-3587
The NPI 1760041636 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Destruction of 2-14 skin growths (HCPCS:17003)
- Tangential biopsy of single skin lesion (HCPCS:11102)
- Destruction of skin growth (HCPCS:17000)
The enumeration date for this NPI number is 6/13/2019 and was last updated on 5/25/2023.