Darrell Lee Dedeaux, NP-C - Medicare Nurse Practitioner in Fayetteville, NC

  1. Home
  2. Nurse Practitioner
  3. NC
  4. Fayetteville
Darrell Lee Dedeaux, NP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Fayetteville, North Carolina. His current practice location is 103 Country Club Dr, Fayetteville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 400-7002.

Darrell Lee Dedeaux is licensed to practice in North Carolina (license number 5009303) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023556461.

Contact Information

Darrell Lee Dedeaux, NP-C
103 Country Club Dr,
Fayetteville, NC 28301-7603
(910) 400-7002
Not Available

Map and Direction




Provider's Profile

Full NameDarrell Lee Dedeaux
GenderMale
SpecialityNurse Practitioner - Primary Care
Location103 Country Club Dr, Fayetteville, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023556461
  • Provider Enumeration Date: 02/06/2017
  • Last Update Date: 08/25/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8921379926
  • Enrollment ID: I20170809003942

Medical Identifiers

Medical identifiers for Darrell Lee Dedeaux such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023556461NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 5009303 (North Carolina)Primary

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. Darrell Lee Dedeaux allows following entities to bill medicare on his behalf.
Entity NameCampbell University Health Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508117185
PECOS PAC ID: 1254586308
Enrollment ID: O20130221000497
Entity NameIh Physician Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447959093
PECOS PAC ID: 5991165458
Enrollment ID: O20230714002485

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. Darrell Lee Dedeaux 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
Darrell Lee Dedeaux, NP-C
Po Box 746724,
Atlanta, GA 30374-6724

Ph: (773) 644-3941		Darrell Lee Dedeaux, NP-C
103 Country Club Dr,
Fayetteville, NC 28301-7603

Ph: (910) 400-7002

Reviews and Comments


Nurse Practitioner Nurses in Fayetteville, NC

Heather Mcphail Maynor, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1638 Owen Dr, Fayetteville, NC 28304
Phone: 910-615-5680    
Wendy Lynn Brock, NNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1638 Owen Dr, Fayetteville, NC 28304
Phone: 910-615-5490    
Christine Elizabeth Arnold-recca, CPNP-PC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6415 Brookstone Ln Ste 101, Fayetteville, NC 28314
Phone: 910-306-5437    
Dr. Adrian Nicole Lennon, PSYCHIATRIC NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6977 Nexus Ct Ste 102, Fayetteville, NC 28304
Phone: 910-672-6432    Fax: 910-745-7907
Shelley Barry Follett, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2125 Valleygate Dr, Suite 201, Fayetteville, NC 28304
Phone: 910-323-1322    
Cheryl Nicole Fisher, FNP, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1638 Owen Dr, Fayetteville, NC 28304
Phone: 910-615-4000    
Demetria Ward-richardson, MSN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1601 Owen Dr, Fayetteville, NC 28304
Phone: 910-678-0100    

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.