| Gina Renae Malott, APRN | |
|
3825 Edwards Rd Ste 300, Cincinnati, OH 45209-1288 | |
| (513) 221-1100 | |
| (513) 684-4501 |
| Full Name | Gina Renae Malott |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 3825 Edwards Rd Ste 300, Cincinnati, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982205860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0027915 (Ohio) | Secondary |
| 363L00000X | Nurse Practitioner | APRN.CNP.0027915 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Christ Hospital | Cincinnati, OH | Hospital |
| Good Samaritan Hospital | Cincinnati, OH | Hospital |
| Bethesda North | Cincinnati, OH | Hospital |
| Dearborn County Hospital | Lawrenceburg, IN | Hospital |
| Mercy Health - Fairfield Hospital | Fairfield, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayfield Clinic Inc | 9133013006 | 65 |
| Entity Name | Mayfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013942101 PECOS PAC ID: 9133013006 Enrollment ID: O20040211000719 |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Renae Malott, APRN Po Box 643398, Cincinnati, OH 45264-3398 Ph: (513) 221-1100 | Gina Renae Malott, APRN 3825 Edwards Rd Ste 300, Cincinnati, OH 45209-1288 Ph: (513) 221-1100 |
Mr. Raymond John Barrows, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 796 Cincinnati-batavia Pike, Cincinnati, OH 45245 Phone: 513-752-9610 Fax: 513-732-8734 | |
Ms. Darcel Derri Bolser, APRN, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3200 Vine St, Cincinnati, OH 45220 Phone: 513-475-6524 Fax: 513-475-6525 | |
Mrs. Lauren Faye Smith, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2139 Auburn Ave, Cincinnati, OH 45219 Phone: 513-792-7445 Fax: 513-791-4042 | |
Sonia L Hissett, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3131 Queen City Ave, Cincinnati, OH 45238 Phone: 513-557-3333 Fax: 513-557-3332 | |
Elizabeth Ann Moore, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3333 Burnet Ave, Ml 2003, Cincinnati, OH 45229 Phone: 513-636-4432 Fax: 513-636-3952 | |
Erynne Hamilton, ARPN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 375 Dixmyth Ave, Cincinnati, OH 45220 Phone: 513-862-2514 Fax: 513-862-4189 | |
Kathryn Elizabeth Dinh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4440 Red Bank Expy Ste 210, Cincinnati, OH 45227 Phone: 513-272-0313 Fax: 513-272-0316 |