Jeremy Dedeaux, FNP-C - Medicare Nurse Practitioner in Zachary, LA

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Jeremy Dedeaux, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Zachary, Louisiana. His current practice location is 2335 Church St, Suite E, Zachary, Louisiana. You can reach out to his office (for appointments etc.) via phone at (225) 654-3607.

Jeremy Dedeaux is licensed to practice in Louisiana (license number AP07961) 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 1104233923.

Contact Information

Jeremy Dedeaux, FNP-C
2335 Church St, Suite E,
Zachary, LA 70791-2700
(225) 654-3607
(225) 658-2262

Map and Direction




Provider's Profile

Full NameJeremy Dedeaux
GenderMale
SpecialityNurse Practitioner - Family
Location2335 Church St, Zachary, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104233923
  • Provider Enumeration Date: 07/14/2014
  • Last Update Date: 12/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3173745189
  • Enrollment ID: I20141106001475

Medical Identifiers

Medical identifiers for Jeremy Dedeaux such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104233923NPI-NPPES
2381547MedicaidLA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP07961 (Louisiana)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. Jeremy Dedeaux allows following entities to bill medicare on his behalf.
Entity NameHospital Service District #1 Of East Baton Rouge Parish
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962437681
PECOS PAC ID: 0941191902
Enrollment ID: O20040322000429
Entity NameConvenient Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164422630
PECOS PAC ID: 1153306816
Enrollment ID: O20040618000886
Entity NameC & M Medical Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710903059
PECOS PAC ID: 9436061553
Enrollment ID: O20050121000093
Entity NameStat Care Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467736165
PECOS PAC ID: 6103091624
Enrollment ID: O20111213000119
Entity NameOur Lady Of The Lake Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033494943
PECOS PAC ID: 4587849781
Enrollment ID: O20120529000377
Entity NameC & M Hospitalist Group,llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548652019
PECOS PAC ID: 8224355680
Enrollment ID: O20150323002295
Entity NameEast Baton Rouge Emergency Physicians Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255894952
PECOS PAC ID: 8426382243
Enrollment ID: O20190628000232

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. Jeremy 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
Jeremy Dedeaux, FNP-C
2335 Main Street, Suite E,
Zachary, LA 70791

Ph: (225) 654-3607		Jeremy Dedeaux, FNP-C
2335 Church St, Suite E,
Zachary, LA 70791-2700

Ph: (225) 654-3607

Reviews and Comments


Nurse Practitioner Nurses in Zachary, LA

Lori S Grace, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6550 Main St Ste 3500, Zachary, LA 70791
Phone: 225-658-6780    Fax: 225-658-6781
Courtney B Johnson,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 19900 Old Scenic Hwy Ste H, Zachary, LA 70791
Phone: 225-570-2618    
Mrs. Celeste M Howard-bourque, PMHNP-BC, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4544 W Central Ave, Zachary, LA 70791
Phone: 337-739-9824    
Loryn Culver Matthews, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 18989 Old Scenic Hwy, Zachary, LA 70791
Phone: 225-654-8850    
Sarah Wallace Eisworth, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 19900 Old Scenic Hwy, Zachary, LA 70791
Phone: 225-570-2618    Fax: 225-570-8539
Caroline Barkerding, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6550 Main St, Ste. 1000, Zachary, LA 70791
Phone: 225-654-1559    Fax: 225-654-6212

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.