Caitlin Hodges Dedeaux, PA is a
Neurological Surgery based in Portland, Oregon. Caitlin Hodges Dedeaux is licensed to practice in Oregon (license number PA172323) and her current practice location is
3303 Sw Bond Ave, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 494-7737.
NPI number for Caitlin Hodges Dedeaux is 1093117228 and her current mailing address is 245 Sw Lincoln St Apt 5532, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093117228.
Provider's Profile
| Full Name | Caitlin Hodges Dedeaux |
|---|
| Gender | Female |
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| Speciality | Neurological Surgery |
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| Location | 3303 Sw Bond Ave, Portland, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1093117228
- Provider Enumeration Date: 09/18/2014
- Last Update Date: 10/30/2015
Medical Identifiers
Medical identifiers for Caitlin Hodges Dedeaux such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093117228 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA.200756 (Louisiana) | Secondary |
| 207T00000X | Neurological Surgery | PA172323 (Oregon) | Primary |
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. Caitlin Hodges Dedeaux is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Caitlin Hodges Dedeaux, PA
245 Sw Lincoln St Apt 5532,
Portland, OR 97201-5052
Ph: (225) 247-1375 | Caitlin Hodges Dedeaux, PA
3303 Sw Bond Ave,
Portland, OR 97239-4501
Ph: (503) 494-7737 |
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