| Lisa Vezikov, | |
|
46 Fairview Ave, Skowhegan, ME 04976-1481 | |
| (207) 474-5121 | |
| (207) 474-3441 |
| Full Name | Lisa Vezikov |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 7 Years |
| Location | 46 Fairview Ave, Skowhegan, Maine |
| 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 |
|---|---|---|---|
| 1912560921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | DO3677 (Maine) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Redington Fairview General Hospital | Skowhegan, ME | Hospital |
| Methodist Hospital | Henderson, KY | Hospital |
| Deaconess Hospital Inc | Evansville, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Deaconess Hospital, Inc. | 9032021431 | 382 |
| Methodist Health, Inc. | 4981508454 | 56 |
| Entity Name | Deaconess Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427097443 PECOS PAC ID: 9032021431 Enrollment ID: O20040115000129 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Vezikov, Po Box 468, Skowhegan, ME 04976-0468 Ph: (207) 474-5121 | Lisa Vezikov, 46 Fairview Ave, Skowhegan, ME 04976-1481 Ph: (207) 474-5121 |
Dr. Jessica Perez, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 46 Fairview Ave, Skowhegan, ME 04976 Phone: 207-474-5121 Fax: 207-474-3441 | |
Mark E Silver, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 46 Fairview Ave, Skowhegan, ME 04976 Phone: 207-858-2311 Fax: 207-474-9261 | |
Dr. Jacob Marceau, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 46 Fairview Ave, Skowhegan, ME 04976 Phone: 207-474-5121 Fax: 207-474-3441 | |
Dr. Tracey Reilly, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 46 Fairview Ave, Skowhegan, ME 04976 Phone: 207-474-5121 Fax: 207-474-3441 | |
Dr. Jo-nell Orlando, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 46 Fairview Ave, Skowhegan, ME 04976 Phone: 207-474-5121 Fax: 207-474-3441 | |
Samuel Mccarthy Oflaherty, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 46 Fairview Ave, Skowhegan, ME 04976 Phone: 207-474-5121 |