Lesley Montgomery Fernow, MD
Individual provider Active NPI Internal Medicine Physician · Dover Foxcroft, ME
NPI 1497863450 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497863450
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 9847 (ME)
- Practice address
- 1048 South St
Dover Foxcroft, ME 04426-1232 - Phone
- (207) 564-7131
- Fax
- (207) 564-7209
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 92.4
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9847 | ME | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fernow Medical Associates | Internal Medicine | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9847 | ME | Yes |
Addresses
Primary practice location
1048 South St
Dover Foxcroft, ME 04426-1232
Mailing address
80 Cotton Brook Rd
Dover Foxcroft, ME 04426-3902
Phone (207) 564-3934
Other providers in Dover Foxcroft, ME
- Andrew Exley
- F.I.N.D Inc.
- Jane Elizabeth Fairchild
- Laura Ruth Feaga
- Fernow Medical Associates
- Sarah Fillmore
- David H Flaherty
- Tiffany Ann Fowles
- Foxcroft Pharmacy, LLC
- Foxcroft Pharmacy, LLC
All providers in Dover Foxcroft, ME · Internal Medicine Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.