| Gina Lott, | |
| 
					6003 Union Tunnel Dr, Harrisburg, PA 17111-8095  | |
| (609) 304-4534 | |
| Not Available | 
| Full Name | Gina Lott | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 6003 Union Tunnel Dr, Harrisburg, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1689493397 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP029803 (Pennsylvania) | Primary | 
| Entity Name | Penn State Health Community Medical Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Gina Lott, 6003 Union Tunnel Dr, Harrisburg, PA 17111-8095 Ph: (609) 304-4534  | Gina Lott, 6003 Union Tunnel Dr, Harrisburg, PA 17111-8095 Ph: (609) 304-4534  | 
Mrs. Elena Yurievna Nebrat,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 South Front Street, 4th Floor, Bma, Harrisburg, PA 17104 Phone: 717-231-8555 Fax: 717-231-8568  | |
Jonelle R Derk, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-3380 Fax: 717-782-5716  | |
Justin Rogers, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 S Front St, Harrisburg, PA 17101 Phone: 717-782-3131  | |
Irene Nkem,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2192 Versailles Dr, Harrisburg, PA 17112 Phone: 312-401-6646  | |
Kathleen Yesavage, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4300 Londonderry Rd Ste 302, Harrisburg, PA 17109 Phone: 717-724-6780 Fax: 717-724-6781  | |
Janie Cozzoli, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 820 Sir Thomas Ct, Harrisburg, PA 17109 Phone: 717-652-9555 Fax: 717-791-2621  | |
Sharon L Jones, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4700 Union Deposit Rd, Suite 140 Drs Mccall Banogon Hawn Associates, Harrisburg, PA 17111 Phone: 717-652-6605 Fax: 717-652-6431  |