Charisse Nichelle Bordeaux, in Rosebud, SD - Medicare Counselor Provider

Charisse Nichelle Bordeaux, is a medicare enrolled "Counselor - Mental Health" provider in Rosebud, South Dakota. Her current practice location is Po Box 253, Rosebud, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 515-3511.

Charisse Nichelle Bordeaux is licensed to practice in * (Not Available) (license number ) 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 1043760234.

Contact Information

	Charisse Nichelle Bordeaux,
	Po Box 253, Rosebud, SD 57570-0253
	(605) 515-3511
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Charisse Nichelle Bordeaux
Gender	Female
Speciality	Counselor - Mental Health
Location	Po Box 253, Rosebud, South Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043760234
Provider Enumeration Date: 10/11/2016
Last Update Date: 12/01/2025

Medicare PECOS Information:

PECOS PAC ID: 9830622497
Enrollment ID: I20241104003437

Medical Identifiers

Medical identifiers for Charisse Nichelle Bordeaux such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043760234	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Charisse Nichelle Bordeaux allows following entities to bill medicare on her behalf.

Entity Name	Rosebud Indian Health Service
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194757369 PECOS PAC ID: 6901704055 Enrollment ID: O20031226000337

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. Charisse Nichelle Bordeaux 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
Charisse Nichelle Bordeaux, Po Box 253, Rosebud, SD 57570-0253 Ph: (605) 515-3511	Charisse Nichelle Bordeaux, Po Box 253, Rosebud, SD 57570-0253 Ph: (605) 515-3511

Reviews and Comments

Counselor in Rosebud, SD

Dr. Kristin R Iyotte, Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 253, Rosebud, SD 57570 Phone: 605-515-7774
Rebecca Renae Crawford Foster, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Soldier Creek Circle, Rosebud Ihs Hospital, Rosebud, SD 57570 Phone: 605-747-2311 Fax: 605-747-5092
Angela Mary Carlos, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Soldier Creek Dr, Rosebud, SD 57570 Phone: 716-400-4206

Charisse Nichelle Bordeaux, - Medicare Counselor in Rosebud, SD