Mr Jesse Korth, NP-C in San Jose, CA - Medicare Nurse Practitioner

Mr Jesse Korth, NP-C is a medicare enrolled "Nurse Practitioner - Family" in San Jose, California. His current practice location is 255 N White Rd Ste 200, San Jose, California. You can reach out to his office (for appointments etc.) via phone at (866) 646-3553.

Mr Jesse Korth is licensed to practice in California (license number 95012974) 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 1457870586.

Contact Information

	Mr Jesse Korth, NP-C
	255 N White Rd Ste 200, San Jose, CA 95127-1966
	(866) 646-3553
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jesse Korth
Gender	Male
Speciality	Nurse Practitioner - Family
Location	255 N White Rd Ste 200, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457870586
Provider Enumeration Date: 09/09/2017
Last Update Date: 12/30/2019

Medicare PECOS Information:

PECOS PAC ID: 4587091350
Enrollment ID: I20220614001512

Medical Identifiers

Medical identifiers for Mr Jesse Korth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457870586	NPI	-	NPPES
95012974	Other	CA	BOARD OF NURSING NP LICENSE
95029028	Other	CA	BOARD OF NURSING

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	238714 (North Carolina)	Secondary
163WC0200X	Registered Nurse - Critical Care Medicine	87827 (West Virginia)	Secondary
163WC0200X	Registered Nurse - Critical Care Medicine	95028029 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	95012974 (California)	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. Mr Jesse Korth allows following entities to bill medicare on his behalf.

Entity Name	Carelon Medical Partners, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124443403 PECOS PAC ID: 9931332111 Enrollment ID: O20210311001261

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. Mr Jesse 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
Mr Jesse Korth, NP-C Po Box 28782, San Jose, CA 95159-8782 Ph: () -	Mr Jesse Korth, NP-C 255 N White Rd Ste 200, San Jose, CA 95127-1966 Ph: (866) 646-3553

Reviews and Comments

Nurse Practitioner Nurses in San Jose, CA

Louise Mary Bruce, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1691 The Alameda, San Jose, CA 95126 Phone: 408-287-7526 Fax: 408-971-6963
Jodie Sugiyama, GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4850 Union Ave, San Jose, CA 95124 Phone: 408-559-5600
Kera Njenga, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 52 Skytop St Apt 107, San Jose, CA 95134 Phone: 443-827-2023
Laura J Ohara, R.N., P.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2577 Samaritan Drive, Suite 815, San Jose, CA 95124 Phone: 408-358-3573
Julie Dutton, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4855 Atherton Ave Ste 101, San Jose, CA 95130 Phone: 408-963-2400 Fax: 408-963-2472
Thu Lan T Pham, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, San Jose, CA 95128 Phone: 408-885-5000
Jenney Leem Lam, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Jose Figueres Ave Ste 255, San Jose, CA 95116 Phone: 408-223-7474 Fax: 408-223-9339

Mr Jesse Korth, NP-C - Medicare Nurse Practitioner in San Jose, CA