| Lisa Vezikov, | |
|
46 Fairview Ave, Skowhegan, ME 04976-1481 | |
| (207) 474-5121 | |
| (207) 474-3441 |
| Full Name | Lisa Vezikov |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Location | 46 Fairview Ave, Skowhegan, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912560921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | DO3677 (Maine) | Primary |
| Entity Name | Mainegeneral Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669423380 PECOS PAC ID: 1254245715 Enrollment ID: O20031118000718 |
| Entity Name | Redington-fairview General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174549133 PECOS PAC ID: 9133018740 Enrollment ID: O20040312000119 |
| 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: Accepting Medicare Assignments 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 | |
Shamano Minhas, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 46 Fairview Ave, Skowhegan, ME 04976 Phone: 207-474-5121 Fax: 207-474-3441 |