Edmond Jacque Decoux Iv, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Houston, TX

Edmond Jacque Decoux Iv, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Houston, Texas. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Dallas County Hospital District and his current practice location is 2411 Fountain View Dr, Ste. 200, Houston, Texas. You can reach out to his office (for appointments etc.) via phone at (713) 620-4000.

Edmond Jacque Decoux Iv is licensed to practice in Texas (license number 742477) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558606038.

Contact Information

Edmond Jacque Decoux Iv, CRNA
2411 Fountain View Dr, Ste. 200,
Houston, TX 77057-4817
(713) 620-4000
Not Available

Map and Direction




Provider's Profile

Full NameEdmond Jacque Decoux Iv
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience12 Years
Location2411 Fountain View Dr, Houston, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Edmond Jacque Decoux Iv graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1558606038
  • Provider Enumeration Date: 12/10/2012
  • Last Update Date: 05/07/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 4183869001
  • Enrollment ID: I20130326000194

Medical Identifiers

Medical identifiers for Edmond Jacque Decoux Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558606038NPI-NPPES
313609502MedicaidTX
313609501MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 742477 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Parkland Health & Hospital SystemDallas, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dallas County Hospital District8325934813483

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. Edmond Jacque Decoux Iv allows following entities to bill medicare on his behalf.
Entity NameDallas County Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831198506
PECOS PAC ID: 8325934813
Enrollment ID: O20040315000583
Entity NamePremier Interventional Pain Management, P.l.l.c
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134453129
PECOS PAC ID: 7012043961
Enrollment ID: O20100330000663
Entity NameTrident Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699218149
PECOS PAC ID: 3274817879
Enrollment ID: O20170227001870
Entity NameEagle Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891151478
PECOS PAC ID: 5092083998
Enrollment ID: O20170619000733
Entity NameSp Pain Partners Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679078075
PECOS PAC ID: 8022360437
Enrollment ID: O20181012002465

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. Edmond Jacque Decoux Iv 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
Edmond Jacque Decoux Iv, CRNA
2411 Fountain View Dr, Ste. 200,
Houston, TX 77057-4817

Ph: (713) 620-4000
Edmond Jacque Decoux Iv, CRNA
2411 Fountain View Dr, Ste. 200,
Houston, TX 77057-4817

Ph: (713) 620-4000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Houston, TX

Editha A Flemming, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Citywest Blvd Ste 300, Houston, TX 77042
Phone: 713-620-4000    
Danielle Therese George, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Citywest Blvd, Ste. 300, Houston, TX 77042
Phone: 713-620-4000    Fax: 713-458-4229
Ryann Hattori, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 6701 Fannin St, Houston, TX 77030
Phone: 832-824-1000    
Rodrique Dewyane Nelson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Citywest Blvd, Ste. 300, Houston, TX 77042
Phone: 713-620-4000    Fax: 713-458-4229
Pedro Napoles, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Citywest Blvd, Suite 300, Houston, TX 77042
Phone: 972-715-5000    Fax: 972-715-9976
Alyssa Estill, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Citywest Blvd Ste 300, Houston, TX 77042
Phone: 713-620-4000    
Thomas Kyle Reynolds, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 7200 Cambridge St Fl 10, Houston, TX 77030
Phone: 713-798-1750    Fax: 713-798-4693

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.