Jonathon Russell Korth, is a medicare enrolled "Physician Assistant" in Humphrey, Nebraska. His current practice location is
46439 275 Ave, Humphrey, Nebraska. You can reach out to his office (for appointments etc.) via phone at
(402) 920-2926.
Jonathon Russell Korth is licensed to practice in Nebraska (license number 2865) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1942925516.
Provider's Profile
Full Name | Jonathon Russell Korth |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 46439 275 Ave, Humphrey, Nebraska |
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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: 1942925516
- Provider Enumeration Date: 10/06/2022
- Last Update Date: 03/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 9739551805
- Enrollment ID: I20230218000472
Medical Identifiers
Medical identifiers for Jonathon Russell Korth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942925516 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 1942925516 (Nebraska) | Secondary |
363A00000X | Physician Assistant | 2865 (Nebraska) | Primary |
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. Jonathon Russell Korth 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 |
Jonathon Russell Korth, 46439 275 Ave, Humphrey, NE 68642-5003 Ph: (402) 920-2926 | Jonathon Russell Korth, 46439 275 Ave, Humphrey, NE 68642-5003 Ph: (402) 920-2926 |
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