Charline Boufin Tebeu, PMHNP in Davie, FL - Medicare Nurse Practitioner

Charline Boufin Tebeu, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Davie, Florida. Her current practice location is 12535 Orange Dr Ste 605, Davie, Florida. You can reach out to her office (for appointments etc.) via phone at (754) 333-1609.

Charline Boufin Tebeu is licensed to practice in Florida (license number 11017056) 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 1558022608.

Contact Information

	Charline Boufin Tebeu, PMHNP
	12535 Orange Dr Ste 605, Davie, FL 33330-4307
	(754) 333-1609
	(754) 348-4844

Map and Direction

Provider's Profile

Full Name	Charline Boufin Tebeu
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	12535 Orange Dr Ste 605, Davie, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558022608
Provider Enumeration Date: 12/30/2021
Last Update Date: 10/09/2025

Medicare PECOS Information:

PECOS PAC ID: 8426437393
Enrollment ID: I20220623001065

Medical Identifiers

Medical identifiers for Charline Boufin Tebeu such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558022608	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95028762 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	279490 (Arizona)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	11017056 (Florida)	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. Charline Boufin Tebeu allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053

Entity Name	Tmz Behavioral Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073244745 PECOS PAC ID: 8123495017 Enrollment ID: O20221107000397

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. Charline Boufin Tebeu 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
Charline Boufin Tebeu, PMHNP 12535 Orange Dr Ste 605, Davie, FL 33330-4307 Ph: (754) 333-1609	Charline Boufin Tebeu, PMHNP 12535 Orange Dr Ste 605, Davie, FL 33330-4307 Ph: (754) 333-1609

Reviews and Comments

Nurse Practitioner Nurses in Davie, FL

Alexa Bock, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6400 Olde Moat Way, Davie, FL 33331 Phone: 954-328-0736
Shashtika Ghimire Guragain, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5595 S University Dr, Davie, FL 33328 Phone: 954-276-3400 Fax: 954-276-0644
Carmen Andreea Hoisan, APRN, FNP-BC, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5561 Sw 82nd Ave, Davie, FL 33328 Phone: 773-230-4409 Fax: 773-230-4409
Meisha Escoffery, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13380 Sw 29th Ct, Davie, FL 33330 Phone: 954-614-7611
Amber Rico, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10400 Griffin Rd Ste 201, Davie, FL 33328 Phone: 808-281-0042
Mrs. Martine Phillips, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2750 N. University Dr., Davie, FL 33024 Phone: 954-804-6607
Ms. Tiffany Marie Hill, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4610 S University Dr, Davie, FL 33328 Phone: 954-434-2002

Charline Boufin Tebeu, PMHNP - Medicare Nurse Practitioner in Davie, FL