Darrell Lee Dedeaux, NP-C in Winston Salem, NC

Darrell Lee Dedeaux, NP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Winston Salem, North Carolina. His current practice location is 380 Knollwood St # 505, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (833) 357-2966.

Darrell Lee Dedeaux is licensed to practice in North Carolina (license number 116077) 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
	380 Knollwood St # 505, Winston Salem, NC 27103-1884
	(833) 357-2966
	Not Available

Map and Direction

Provider's Profile

Full Name	Darrell Lee Dedeaux
Gender	Male
Speciality	Nurse Practitioner - Primary Care
Location	380 Knollwood St # 505, Winston Salem, North Carolina
Accepts Medicare Assignments	Medicare 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: 10/25/2019

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.

Identifier	Type	State	Issuer
1023556461	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	116077 (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 Name	Campbell University Health Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508117185 PECOS PAC ID: 1254586308 Enrollment ID: O20130221000497

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 Address	Practice Location Address
Darrell Lee Dedeaux, NP-C 129 T.t. Lanier Street, Buies Creek, NC 27506 Ph: (910) 893-1562	Darrell Lee Dedeaux, NP-C 380 Knollwood St # 505, Winston Salem, NC 27103-1884 Ph: (833) 357-2966

Reviews and Comments

Nurse Practitioner Nurses in Winston Salem, NC

Cora Robbins, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-277-2000 Fax: 336-277-2050
Mrs. Joy Lianne Justice, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2085 Frontis Plaza Blvd, Winston Salem, NC 27103 Phone: 704-316-4136 Fax: 704-417-4814
Lillykutty Abraham Modoor, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 650 Highland Ave Ste 100, Winston Salem, NC 27101 Phone: 336-607-8523 Fax: 336-773-0916
Dr. Marie Huffmaster Thomas, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-5000
Jennifer Adams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2878
Deborah Krist Potticary, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-7041 Fax: 336-718-9622
Rachael Marie Davis, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3821 Forrestgate Dr, Winston Salem, NC 27103 Phone: 336-448-9100 Fax: 336-448-5282

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