Theresa Brietzke, APRN in Saint Johns, FL - Medicare Nurse Practitioner

Theresa Brietzke, APRN is a medicare enrolled "Nurse Practitioner - Family" in Saint Johns, Florida. Her current practice location is 744 Peppervine Ave, Saint Johns, Florida. You can reach out to her office (for appointments etc.) via phone at (240) 449-5014.

Theresa Brietzke is licensed to practice in Michigan (license number 4704419360) 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 1770399925.

Contact Information

	Theresa Brietzke, APRN
	744 Peppervine Ave, Saint Johns, FL 32259-5272
	(240) 449-5014
	Not Available

Map and Direction

Provider's Profile

Full Name	Theresa Brietzke
Gender	Female
Speciality	Nurse Practitioner - Family
Location	744 Peppervine Ave, Saint Johns, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770399925
Provider Enumeration Date: 12/03/2024
Last Update Date: 12/03/2024

Medicare PECOS Information:

PECOS PAC ID: 2567999279
Enrollment ID: I20241219000779

Medical Identifiers

Medical identifiers for Theresa Brietzke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770399925	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11035309 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	4704419360 (Michigan)	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. Theresa Brietzke allows following entities to bill medicare on her behalf.

Entity Name	Sacred Heart Medical Centre Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558588772 PECOS PAC ID: 5597668947 Enrollment ID: O20040202000070

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. Theresa Brietzke 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
Theresa Brietzke, APRN 744 Peppervine Ave, Saint Johns, FL 32259-5272 Ph: (240) 449-5014	Theresa Brietzke, APRN 744 Peppervine Ave, Saint Johns, FL 32259-5272 Ph: (240) 449-5014

Reviews and Comments

Nurse Practitioner Nurses in Saint Johns, FL

Shivani Patel, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 N Big Cypress Dr Apt 351, Saint Johns, FL 32259 Phone: 832-484-8361
Mrs. Sherri Annette D'agata, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3472 Babiche St, Saint Johns, FL 32259 Phone: 904-228-5333
Gina Kay Sexton, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 210 Northbridge Ct, Saint Johns, FL 32259 Phone: 904-612-7461
Katherine Male, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 120 Saint Johns Commons Rd, Saint Johns, FL 32259 Phone: 866-389-2727
Dr. Jessica Anne Raines, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2220 County Rd 210 W, Suite 108, #248, Saint Johns, FL 32259 Phone: 904-460-3806 Fax: 866-877-6400
Robert D Yarbrough, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 Celtic Wedding Dr, Saint Johns, FL 32259 Phone: 904-535-0636
Clay Grimes, AG-ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 564 Redberry Ln, Saint Johns, FL 32259 Phone: 904-806-8262

Theresa Brietzke, APRN - Medicare Nurse Practitioner in Saint Johns, FL