Tomika Marie Dedeaux, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Biloxi, Mississippi. Her current practice location is
1990 Popps Ferry Rd, Biloxi, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(228) 383-5119.
Tomika Marie Dedeaux is licensed to practice in Mississippi (license number 903126) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1861957631.
Physician's Profile
| Full Name | Tomika Marie Dedeaux |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 1990 Popps Ferry Rd, Biloxi, Mississippi |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1861957631
- Provider Enumeration Date: 02/06/2019
- Last Update Date: 11/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 7618387952
- Enrollment ID: I20201028000287
Medical Identifiers
Medical identifiers for Tomika Marie Dedeaux such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861957631 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207QA0401X | Family Medicine - Addiction Medicine | 903126 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 203427 (Louisiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 903126 (Mississippi) | 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. Tomika Marie Dedeaux allows following entities to bill medicare on her behalf.
| Entity Name | Molina Care Connections Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407243223
PECOS PAC ID: 5799062881
Enrollment ID: O20180320001095 |
|---|
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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. Tomika Marie 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 |
|---|
Tomika Marie Dedeaux, FNP-C
1990 Popps Ferry Rd,
Biloxi, MS 39532-2015
Ph: (228) 383-5119 | Tomika Marie Dedeaux, FNP-C
1990 Popps Ferry Rd,
Biloxi, MS 39532-2015
Ph: (228) 383-5119 |
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