Jonathon Russell Korth, is a medicare enrolled "Physician Assistant" in Humphrey, Nebraska. He graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Merrick Medical Center and 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
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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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| Experience | 4 Years |
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| Location | 46439 275 Ave, Humphrey, Nebraska |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jonathon Russell Korth graduated from nursing school in 2022
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Merrick Medical Center | 9537445812 | 13 |
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. Jonathon Russell Korth allows following entities to bill medicare on his behalf.
| Entity Name | Merrick Medical Center |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1386175164 PECOS PAC ID: 9537445812 Enrollment ID: O20170421001399 |
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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. 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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