Individual provider Active NPI

Patricia A Lerwick, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • So Portland, ME
National Provider Identifier
1912000159
Registry record updated Dec 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
012163 Issued in ME
Practice address
100 Foden Road
West Building Suite 103
So. Portland, ME 04106
Phone
(207) 828-1122
Fax
(207) 828-0188
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 012163 ME
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 012163 ME Primary

Addresses

Primary practice location

100 Foden Road
West Building Suite 103
So. Portland, ME 04106

Mailing address

100 Foden Rd.
West Building Suite 103
So. Portland, ME 04106
Phone (207) 828-1122

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050627001160 ME Practitioner - Pulmonary Disease 2062457336 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012163MEMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chest Medicine Associates, PA Pulmonary Disease CurrentSince Jun 19, 1998 Accepting new patients
Mercy Hospital CurrentSince Mar 12, 2019 Accepting new patients
Mercy Hospital CurrentSince Mar 12, 2019 Accepting new patients

Locations

335 Brighton Ave
Ste 200
Portland, ME 04102
Phone (207) 662-8600

100 Foden Rd
#103
South Portland, ME 04106
Phone (207) 828-1122

100 Foden Rd
Ste W-103
South Portland, ME 04106
Phone (207) 772-2625

40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174

Interoperability endpoints

  • Direct secure messaging: plerwick31158@direct.mmc.mainehealth.org
  • Direct secure messaging: patricia.lerwick@direct.cma.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576368000000",
    "number": "1912000159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FODEN RD.",
            "address_2": "WEST BUILDING SUITE 103",
            "city": "SO. PORTLAND",
            "state": "ME",
            "postal_code": "04106",
            "telephone_number": "207-828-1122",
            "fax_number": "207-828-0188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FODEN ROAD",
            "address_2": "WEST BUILDING SUITE 103",
            "city": "SO. PORTLAND",
            "state": "ME",
            "postal_code": "04106",
            "telephone_number": "207-828-1122",
            "fax_number": "207-828-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERWICK",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2019-12-15",
        "certification_date": "2019-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "ME",
            "license": "012163",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "ME",
            "license": "012163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in So Portland, ME

Sources for this page

Verify at the official NPI Registry.