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MAILANDE DEDEAUX PA
NPI 1255708681
Physician Assistant - Medical in Gulf Breeze, FL

Active since September 02, 2015PECOS EnrolledAccepts Medicare Assignment
400 GULF BREEZE PKWY, SUITE 300, GULF BREEZE, FL 32561(850) 932-5055(850) 932-1404 Get Directions Write a Review

NPPES record last updated: September 2, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 2, 2016, Jun 13, 2016 (2 updates tracked since 2016).

About Mailande Dedeaux Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAILANDE DEDEAUX PA (NPI 1255708681) is an individual medical provider in Gulf Breeze, Florida, licensed in Florida (PA9108878) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1255708681
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMAILANDE DEDEAUXCredential: PA
Location Address400 GULF BREEZE PKWY, SUITE 300Gulf Breeze, FL 32561-4458
Mailing AddressPo Box 280Gulf Breeze, FL 32562-0280 · (850) 932-5055 · Fax (850) 932-1404
Phone(850) 932-5055
Fax(850) 932-1404
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 2, 2015
Last NPPES UpdateSeptember 2, 20162 updates tracked since enumeration
✔ NPI 1255708681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9108878
400 GULF BREEZE PKWY, Gulf Breeze, FL 32561
Open in Google Maps ↗

Other Names 1

Former Name (1)Mailande Parker Pa

Other Identifiers 1

OtherJL0YBFL · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mailande Dedeaux Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729388848
PECOS Enrollment IDI20151123000003
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHILD NEUROLOGY CENTER OF NORTHWEST FLORIDA PA
General Practice
400 GULF BREEZE PKWY, SUITE 300
GULF BREEZE, FL 32561
Santa Rosa County (850) 932-5055
GENEI S BOUGHER ARNP
Nurse Practitioner (Pediatrics)
400 GULF BREEZE PKWY, SUITE 300
GULF BREEZE, FL 32561
Santa Rosa County (850) 932-5055
SONIA A SMITH ARNP
Nurse Practitioner (Pediatrics)
400 GULF BREEZE PKWY, SUITE 300
GULF BREEZE, FL 32561
Santa Rosa County (850) 932-5055
EMERALD COAST PEDIATRIC SLEEP CONSULTANTS, LLC
Nurse Practitioner (Pediatrics)
400 GULF BREEZE PKWY, SUITE 204
GULF BREEZE, FL 32561
Santa Rosa County (850) 932-3830
CHILD NEUROLOGY CENTER OF NW FL PA
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
400 GULF BREEZE PKWY, SUITE 202
GULF BREEZE, FL 32561
Santa Rosa County (850) 932-5055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mailande Dedeaux's NPI number?

The NPI number for Mailande Dedeaux is 1255708681. It was assigned to this individual provider in the NPPES registry on September 2, 2015. The provider is also known as Mailande Parker PA.

Where is Mailande Dedeaux located?

Mailande Dedeaux practices at 400 Gulf Breeze Pkwy Suite 300, Gulf Breeze, FL 32561. The listed phone number is (850) 932-5055.

What is Mailande Dedeaux's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mailande Dedeaux enrolled in Medicare?

Yes. Mailande Dedeaux is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mailande Dedeaux accept?

Health plans from Ambetter Health, Ambetter of Alabama and Oscar Health Maintenance Organization of Florida list Mailande Dedeaux as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mailande Dedeaux was last updated on September 2, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.