Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lisa Vezikov

Individual provider Emergency Medicine Physician · NPI 1912560921

Lisa Vezikov is an Emergency Medicine in Skowhegan, Maine. Qualified in 2019, 7 years ago. Practices with Methodist Health, Inc, a 70-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
7
Licensed in
ME
In the registry since
2019

Practice location Address checks out

46 Fairview Ave
Skowhegan, ME 04976-1481
Phone: (207) 474-5121
Fax: (207) 474-3441
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 Franklin Health Cmns, Farmington, ME 04938-6144 — (207) 778-6031

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence DO3677 (ME)

Record details

NPI number1912560921
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 16, 2019
Last updated in NPPESJanuary 24, 2024
Certification dateJanuary 24, 2024
Mailing addressPo Box 468, Skowhegan, ME 04976-0468

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Methodist Health, Inc. — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Skowhegan