Mrs Ann Marie Theresa Storbrauck, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Jamison, Pennsylvania. Her current practice location is
2813 Lee Dr, Jamison, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(267) 884-4788.
Mrs Ann Marie Theresa Storbrauck is licensed to practice in Pennsylvania (license number SP018884) 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 1417142514.
Provider's Profile
| Full Name | Mrs Ann Marie Theresa Storbrauck |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 2813 Lee Dr, Jamison, Pennsylvania |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417142514
- Provider Enumeration Date: 09/11/2007
- Last Update Date: 06/12/2026
Medicare PECOS Information:
- PECOS PAC ID: 4880974187
- Enrollment ID: I20161202000574
Medical Identifiers
Medical identifiers for Mrs Ann Marie Theresa Storbrauck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417142514 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP018884 (Pennsylvania) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R149292 (Maryland) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209029491 (Illinois) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | SP009486 (Pennsylvania) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ00297900 (New Jersey) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 30454 (South Carolina) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 32914 (Tennessee) | Secondary |
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. Mrs Ann Marie Theresa Storbrauck allows following entities to bill medicare on her behalf.
| Entity Name | Joseph Dantonio Md Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770557548 PECOS PAC ID: 4587577341 Enrollment ID: O20031107000294 |
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| Entity Name | Vista Medical Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659452027 PECOS PAC ID: 5597743344 Enrollment ID: O20040709000144 |
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| Entity Name | Alegis Care - Pennsylvania Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548511017 PECOS PAC ID: 8921231820 Enrollment ID: O20140430000373 |
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| Entity Name | Evernorth Care Providers - Delaware Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457138182 PECOS PAC ID: 6002217973 Enrollment ID: O20231211002305 |
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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. Mrs Ann Marie Theresa Storbrauck 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 |
Mrs Ann Marie Theresa Storbrauck, CRNP 30 S 15th St Ste 1550, Philadelphia, PA 19102-4806 Ph: (267) 884-4788 | Mrs Ann Marie Theresa Storbrauck, CRNP 2813 Lee Dr, Jamison, PA 18929-1047 Ph: (267) 884-4788 |
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