Jillian R Dedeaux, CSFA - Physician Assistant in Gulfport, MS

Jillian R Dedeaux, CSFA is a Physician Assistant - Surgical based in Gulfport, Mississippi. Jillian R Dedeaux is licensed to practice in * (Not Available) (license number ) and her current practice location is 14247 N Swan Rd, Gulfport, Mississippi. She can be reached at her office (for appointments etc.) via phone at (228) 297-6640.

NPI number for Jillian R Dedeaux is 1710566336 and her current mailing address is Po Box 7095, Gulfport, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710566336.

Contact Information

Jillian R Dedeaux, CSFA
14247 N Swan Rd,
Gulfport, MS 39503-8551
(228) 297-6640
Not Available



Provider's Profile

Full NameJillian R Dedeaux
GenderFemale
SpecialityPhysician Assistant - Surgical
Location14247 N Swan Rd, Gulfport, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1710566336
  • Provider Enumeration Date: 04/02/2021
  • Last Update Date: 04/02/2021

Medical Identifiers

Medical identifiers for Jillian R Dedeaux such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710566336NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical (* (Not Available))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. Jillian R 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 AddressPractice Location Address
Jillian R Dedeaux, CSFA
Po Box 7095,
Gulfport, MS 39506-7095

Ph: (228) 297-6640
Jillian R Dedeaux, CSFA
14247 N Swan Rd,
Gulfport, MS 39503-8551

Ph: (228) 297-6640

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Physician Assistant Nurses in Gulfport, MS

Mrs. Amanda Leblanc Harris, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 11295 E Taylor Rd, Gulfport, MS 39503
Phone: 228-864-3300    Fax: 228-864-3333
Wesley Armstrong, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 15200 Community Rd, Gulfport, MS 39503
Phone: 228-575-7000    
Jessica Lofton,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 5502 Marvin Shields Blvd, Gulfport, MS 39501
Phone: 228-822-5770    
Regal Cox, CST, CSFA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4500 13th St, Gulfport, MS 39501
Phone: 228-867-4000    
Kassie Stafford, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 11295 E Taylor Rd, Gulfport, MS 39503
Phone: 228-864-3300    Fax: 228-864-3333
John Miyakawa, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 12337 Ashley Dr, Suite F, Gulfport, MS 39503
Phone: 228-365-6932    
Thuy T Tran, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 431 Security Sq, Gulfport, MS 39507
Phone: 985-643-4575    Fax: 833-222-4520

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