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 14 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice St. Vincents Urgent Care Llc, Malina Medical Services Pc 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
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558620807.
Physician's Profile
| Full Name | Dr Lauren Lacivita |
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| Gender | Female |
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| Speciality | Emergency Medicine |
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| Experience | 14 Years |
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| Location | 30 Danbury Rd, Wilton, Connecticut |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any 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: I20161125000024
Medical Identifiers
Medical identifiers for Dr Lauren Lacivita such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1558620807 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 5101019742 (Michigan) | Secondary |
| 207P00000X | Emergency Medicine | 282994 (New York) | Secondary |
| 207P00000X | Emergency Medicine | 55839 (Connecticut) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| St. Vincents Urgent Care Llc | 6901119767 | 45 |
| Malina Medical Services Pc | 3779943600 | 30 |
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 Name | Emergency Medicine Physicians Of New Haven County,llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083910962 PECOS PAC ID: 4284819764 Enrollment ID: O20110427000166 |
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| Entity Name | St. Vincents Urgent Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912305483 PECOS PAC ID: 6901119767 Enrollment ID: O20150722005148 |
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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 Address | Practice 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 |
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