NPIMap

Individual provider Active NPI

Lynette J Weeman, D.O.

  • Cardiovascular Disease Physician
  • Lewiston, ME
National Provider Identifier
1275588261
Registry record updated Aug 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
1711 Issued in ME
Practice address
198 Main St
Suite a
Lewiston, ME 04240-7019
Phone
(207) 777-5300
Fax
(207) 777-1276
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 1711 ME Primary

Addresses

Primary practice location

198 Main St
Suite a
Lewiston, ME 04240-7019

Mailing address

301C US Route 1
Scarborough, ME 04074-9701
Phone (207) 396-8600

Other identifiers 1

IdentifierTypeStateIssuer
107650003MedicaidME

Other names 1

  • Lynette J Fahnestock Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040726000330 ME Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0840270245 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of New England, College of Osteo Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MainehealthGroup PAC ID 7517860588, shared by 31 NPIs, 2,616 clinicians

Practice addresses (Care Compare)

111 Franklin Health CMNS
Farmington, ME 04938-6144
Phone (207) 779-3113

Hospital & facility affiliations

  • Mainehealth Franklin Hospital Hospital, Farmington, ME, CCN 201316
  • Mainehealth Maine Medical Center Hospital, Portland, ME, CCN 200009
  • Rumford Hospital Hospital, Rumford, ME, CCN 201306

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1711MEMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary'S Regional Medical Center CurrentSince Jun 4, 2004 Accepting new patients
Mainehealth Current Accepting new patients
Maine Medical Partners CurrentSince Jan 29, 2012 Accepting new patients
St. Mary'S Regional Medical Center CurrentSince Jun 4, 2004 Accepting new patients
Mainehealth CurrentSince Dec 3, 2018 Accepting new patients
Mainehealth CurrentSince Jan 28, 2012 Accepting new patients
Mainehealth CurrentSince Jan 28, 2012 Accepting new patients
Maine Medical Partners CurrentSince Jan 29, 2012 Accepting new patients
Mainehealth Current Accepting new patients
Mainehealth Cardiovascular Disease CurrentSince Mar 3, 2019 Accepting new patients
Mainehealth Current Accepting new patients
Western Maine Multi-Medical Specialists Cardiovascular Disease Past Accepting new patients
Mainehealth Past Accepting new patients

Locations

791 Turner St
#2
Auburn, ME 04210
Phone (207) 330-3900

111 Franklin Health Cmns
Farmington, ME 04938
Phone (207) 778-3326

93 Campus Ave
#I2
Lewiston, ME 04240
Phone (207) 777-4420

99 Campus Ave
Ste 201
Lewiston, ME 04240
Phone (207) 777-5300

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

198 Main St
Ste A
Lewiston, ME 04240
Phone (207) 755-4970

193 Main St
Ste 3
Norway, ME 04268
Phone (207) 743-7605

887 Congress St
Ste 200
Portland, ME 04102
Phone (207) 771-5549

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

301C US Route 1
Scarborough, ME 04074
Phone (207) 396-8600

119 Gannett Dr
South Portland, ME 04106
Phone (207) 773-0040

149 North St
Waterville, ME 04901
Phone (207) 622-1959

584 Roosevelt Trl
Windham, ME 04062
Phone (207) 892-3216

Interoperability endpoints

  • Direct secure messaging: lweeman31105@direct.mmc.mainehealth.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 38

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 38

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345161600000",
    "number": "1275588261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301C US ROUTE 1",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749701",
            "telephone_number": "207-396-8600",
            "fax_number": "207-396-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 MAIN ST",
            "address_2": "SUITE A",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407019",
            "telephone_number": "207-777-5300",
            "fax_number": "207-777-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEMAN",
        "first_name": "LYNETTE",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2012-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ME",
            "license": "1711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107650003",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNETTE",
            "last_name": "FAHNESTOCK",
            "middle_name": "J",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.