Jeremy Dedeaux, FNP-C | |
2335 Church St, Suite E, Zachary, LA 70791-2700 | |
(225) 654-3607 | |
(225) 658-2262 |
Full Name | Jeremy Dedeaux |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 2335 Church St, Zachary, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104233923 | NPI | - | NPPES |
2381547 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP07961 (Louisiana) | Primary |
Entity Name | Hospital Service District #1 Of East Baton Rouge Parish |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962437681 PECOS PAC ID: 0941191902 Enrollment ID: O20040322000429 |
Entity Name | Convenient Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164422630 PECOS PAC ID: 1153306816 Enrollment ID: O20040618000886 |
Entity Name | C & M Medical Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710903059 PECOS PAC ID: 9436061553 Enrollment ID: O20050121000093 |
Entity Name | Our Lady Of The Lake Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
Entity Name | C & M Hospitalist Group,llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548652019 PECOS PAC ID: 8224355680 Enrollment ID: O20150323002295 |
Entity Name | East Baton Rouge Emergency Physicians Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255894952 PECOS PAC ID: 8426382243 Enrollment ID: O20190628000232 |
Mailing Address | Practice 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 |
Michael Evan Williams, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6550 Main St Ste 1000, Zachary, LA 70791 Phone: 225-654-1559 Fax: 225-654-6212 | |
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 | |
Chantel N Wiley, FNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1215 Independence Blvd Ste B, Zachary, LA 70791 Phone: 225-205-3664 Fax: 225-399-4590 | |
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 |