Sommer Tiffany Korth, PMHNP-BC in Tualatin, OR

Sommer Tiffany Korth, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Tualatin, Oregon. Her current practice location is 18765 Sw Boones Ferry Rd Ste 100, Tualatin, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 612-1000.

Sommer Tiffany Korth is licensed to practice in Oregon (license number 10047729) 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 1598117434.

Contact Information

	Sommer Tiffany Korth, PMHNP-BC
	18765 Sw Boones Ferry Rd Ste 100, Tualatin, OR 97062-8607
	(503) 612-1000
	(503) 612-1090

Map and Direction

Provider's Profile

Full Name	Sommer Tiffany Korth
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	18765 Sw Boones Ferry Rd Ste 100, Tualatin, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598117434
Provider Enumeration Date: 07/03/2016
Last Update Date: 10/02/2025

Medicare PECOS Information:

PECOS PAC ID: 4486927092
Enrollment ID: I20170901001961

Medical Identifiers

Medical identifiers for Sommer Tiffany Korth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598117434	NPI	-	NPPES
114138	Other	NE	STATE OF NEBRASKA DEPT OF HEALTH AND HUMAN SERVICES DIVISION OF PUBLIC HEALTH
A165752	Other	IA	IOWA BOARD OF NURSING
CP002103	Other	SD	SOUTH DAKOTA BOARD OF NURSING
G165850	Other	IA	IOWA BOARD OF NURSING

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	G165850 (Iowa)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	10047729 (Oregon)	Primary
363L00000X	Nurse Practitioner	5928365-4405 (Utah)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	114138 (Nebraska)	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. Sommer Tiffany Korth allows following entities to bill medicare on her behalf.

Entity Name	Uintah Basin Tri-county Mental Health And Substance Abuse Local Author
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891873121 PECOS PAC ID: 9133183072 Enrollment ID: O20041119000092

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. Sommer Tiffany 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
Sommer Tiffany Korth, PMHNP-BC 18765 Sw Boones Ferry Rd Ste 100, Tualatin, OR 97062-8607 Ph: (503) 612-1000	Sommer Tiffany Korth, PMHNP-BC 18765 Sw Boones Ferry Rd Ste 100, Tualatin, OR 97062-8607 Ph: (503) 612-1000

Reviews and Comments

Nurse Practitioner Nurses in Tualatin, OR

Mrs. Alice Darlene Hamilton, P.N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22300 Sw Boones Ferry Rd, Tualatin, OR 97062 Phone: 503-431-5975 Fax: 503-431-5976
Erika Mote, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19875 Sw 65th Ave Ste 100, Tualatin, OR 97062 Phone: 503-692-7785
Mackenzie Eileen Callis, APRN, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18650 Sw Boones Ferry Rd Ste 3, Tualatin, OR 97062 Phone: 503-351-5858
Ms. Nicole Gay Ingram, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062 Phone: 503-855-1205
Mrs. Lindsay Ann Marshall, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18765 Sw Boones Ferry Rd, Tualatin, OR 97062 Phone: 503-612-1000
Katherine Anne Mcduffee, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18840 Sw Boones Ferry Rd, Tualatin, OR 97062 Phone: 503-332-1251
Ayumi Mizuno, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6464 Sw Borland Rd Ste A2, Tualatin, OR 97062 Phone: 503-832-5429

Sommer Tiffany Korth, PMHNP-BC - Medicare Nurse Practitioner in Tualatin, OR