MAILANDE DEDEAUX (PA) – Medical Physician Assistant, NPI 1255708681

MAILANDE DEDEAUX (PA) is a healthcare provider. based in Gulf breeze, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA9108878 (FL). The NPI Number for MAILANDE DEDEAUX (PA) is 1255708681

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MAILANDE DEDEAUX (PA)
NPI
1255708681
Phone
(850) 932-5055
Address
PO BOX 280
Enumeration Date
2 September 2015
Last Update Date
2 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8509325055
Graduation Year
2015 (11 years ago)
PAC ID
8729388848
Group Practice PAC ID
3870584345
Professional Enrollment ID
I20151123000003
Address ID
FL325614458GU400XXPKWY401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

9,232 PHYSICIAN ASSISTANT in FL

Provider Addresses for MAILANDE DEDEAUX (PA)

  • PO BOX 280

    GULF BREEZE, FL 325620280

    Phone: (850) 932-5055

    Fax: (850) 932-1404

    Type: Mailing

  • 400 GULF BREEZE PKWY

    SUITE 300

    GULF BREEZE, FL 325614458

    Phone: (850) 932-5055

    Fax: (850) 932-1404

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 76 Open Payments records for all available years, with a total value of $1,731.

Total Amount is formed as General ($1,731) + Research ($0) + Ownership ($0) = $1,731.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: UCB, Inc. ($538).

Total Amount

$1,731

General + Research + Ownership

Payments

76

Total payment records

General Amount

$1,731

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-11-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151123000003IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32562)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870584345View full group profile
NameSpecialtyState
N E U R O L O G YFL
N E U R O L O G YFL
-FL

Reviews

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Frequently asked questions

Is MAILANDE DEDEAUX (PA) listed with a National Provider Identifier?
Yes — MAILANDE DEDEAUX (PA) has NPI 1255708681 on file in the registry.
Active or inactive — what applies to MAILANDE DEDEAUX (PA)?
You should see MAILANDE DEDEAUX (PA) as active in CMS-hosted NPPES data.
What kind of doctor is MAILANDE DEDEAUX (PA)?
MAILANDE DEDEAUX (PA) is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MAILANDE DEDEAUX (PA)?
Directory geography for MAILANDE DEDEAUX (PA) centers on Gulf Breeze, Florida.
Does MAILANDE DEDEAUX (PA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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