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Gina Marie Marcon

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2760 Fletcher Pkwy, El Cajon, CA 92020-2110

PECOS Enrollment

This provider is enrolled in PECOS as GINA MARCON.

Based on the most recent information from CMS, provider Gina Marie Marcon is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1760662811
Provider Type
Individual
Full Name
Marcon, Gina Marie
Credential
FNP

Gender
Female
Sole Proprietor
No
Enumeration Date
11/6/2007
Last Updated
10/24/2022

Contact Information

Practice Location

2760 Fletcher Pkwy, El Cajon, CA 92020-2110

(619) 461-4411

Unlisted Fax

Mailing Location

2760 Fletcher Pkwy, El Cajon, CA 92020-2110

(619) 461-4411

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 16530 California
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 614568 California

Gina Marie Marcon

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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