Dr Lauren Lacivita, DO - Medicare Emergency Medicine in Wilton, CT

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Dr Lauren Lacivita, DO is a medicare enrolled "Emergency Medicine" physician in Wilton, Connecticut. She went to Michigan State University College Of Osteopathic Medicine and graduated in 2012 and has 13 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Malina Medical Services Pc, St. Vincents Urgent Care Llc and her current practice location is 30 Danbury Rd, Wilton, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 563-3500.

Dr Lauren Lacivita is licensed to practice in Connecticut (license number 55839) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1558620807.

Contact Information

Dr Lauren Lacivita, DO
30 Danbury Rd,
Wilton, CT 06897-4457
(203) 563-3500
Not Available

Map and Direction




Physician's Profile

Full NameDr Lauren Lacivita
GenderFemale
SpecialityEmergency Medicine
Experience13 Years
Location30 Danbury Rd, Wilton, Connecticut
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Lauren Lacivita attended and graduated from Michigan State University College Of Osteopathic Medicine in 2012
  NPI Data:
  • NPI Number: 1558620807
  • Provider Enumeration Date: 05/08/2012
  • Last Update Date: 12/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4385931583
  • Enrollment ID: I20160930001378

Medical Identifiers

Medical identifiers for Dr Lauren Lacivita such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558620807NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 5101019742 (Michigan)Secondary
207P00000XEmergency Medicine 282994 (New York)Secondary
207P00000XEmergency Medicine 55839 (Connecticut)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Malina Medical Services Pc377994360017
St. Vincents Urgent Care Llc690111976745

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Lauren Lacivita allows following entities to bill medicare on her behalf.
Entity NameIsland Emergency Medical Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639160385
PECOS PAC ID: 4981503513
Enrollment ID: O20040102000662
Entity NameJohn T Mather Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376642371
PECOS PAC ID: 1254237753
Enrollment ID: O20040316000754
Entity NameNorth Shore-lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262
Entity NameMalina Medical Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932899192
PECOS PAC ID: 3779943600
Enrollment ID: O20230724002248

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Lauren Lacivita is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Lauren Lacivita, DO
1290 Silas Deane Highway, Hhc - Cvo,
Wethersfield, CT 06109-4337

Ph: () -		Dr Lauren Lacivita, DO
30 Danbury Rd,
Wilton, CT 06897-4457

Ph: (203) 563-3500

Reviews and Comments


Emergency Medicine Doctors in Wilton, CT

Christine Chih-mei Yang-kauh, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 31 Pheasant Run Rd, Van Brunt Station Park Slope Emergency Physician Servic, Wilton, CT 06897
Phone: 646-334-5888    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.