| Tina Dibofo, | |
|
39465 W 14 Mile Rd, Novi, MI 48377-1600 | |
| (877) 906-9699 | |
| Not Available |
| Full Name | Tina Dibofo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 39465 W 14 Mile Rd, Novi, Michigan |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184571069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209034913 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bcs Of Illinois, S.c. | 1759880420 | 3 |
| Entity Name | Bcs of Illinois, S.C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659260008 PECOS PAC ID: 1759880420 Enrollment ID: O20250819002607 |
| Mailing Address | Practice Location Address |
|---|---|
| Tina Dibofo, 39465 W 14 Mile Rd, Novi, MI 48377-1600 Ph: Not Available | Tina Dibofo, 39465 W 14 Mile Rd, Novi, MI 48377-1600 Ph: (877) 906-9699 |
Ashley H Edmonds, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 41850 W 11 Mile Rd Ste 202, Novi, MI 48375 Phone: 810-429-7859 |
Denver Moses, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41800 W 11 Mile Rd Ste 109, Novi, MI 48375 Phone: 248-660-1220 |
Jonathan Michael Fleezanis, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 39500 W 10 Mile Rd Ste 100, Novi, MI 48375 Phone: 248-476-0035 |
Kacie Lynn Christensen, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 26750 Providence Pkwy, Novi, MI 48374 Phone: 248-679-8000 |
Sydney Krenz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 47601 Grand River Ave, Novi, MI 48374 Phone: 248-465-4100 |
Lydia Mayes Washington, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 41800 W 11 Mile Rd Ste 109, Novi, MI 48375 Phone: 704-637-1182 |
Jessica Dikhow, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26090 Lannys Road, Novi, MI 48375 Phone: 248-200-9420 |