Individual provider Active NPI

Linda Lea Lacerte, M.D.

  • Family Medicine Physician
  • Uncasville, CT
National Provider Identifier
1497802417
Registry record updated Oct 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036334 Issued in CT
Practice address
80 Norwich New London Tpke
Uncasville, CT 06382-2527
Phone
(860) 848-1297
Fax
(860) 848-9875
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036334 CT Primary

Addresses

Primary practice location

80 Norwich New London Tpke
Uncasville, CT 06382-2527

Mailing address

112 Lafayette St
Norwich, CT 06360-2737
Phone (860) 889-8331

Other identifiers 1

IdentifierTypeStateIssuer
001363340MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20091208000246 CT Practitioner - Family Practice 8729127576 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036334CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group, Inc Family Medicine CurrentSince Sep 1, 2017 Accepting new patients
Sound Medical Associates, PC Family Medicine Current Accepting new patients
L&M Physician Association, Inc Family Medicine Past Accepting new patients

Locations

743 Colonel Ledyard Hwy
Ledyard, CT 06339
Phone (860) 464-2028

2 Lorenz Industrial Pkwy
Ledyard, CT 06339
Phone (860) 464-3045

111 Salem Tpke
Ste 8
Norwich, CT 06360
Phone (860) 886-0023

326 Washington St
Norwich, CT 06360
Phone (860) 701-0140

8 Davis Rd W
Old Lyme, CT 06371
Phone (860) 304-6682

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382054400000",
    "number": "1497802417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 LAFAYETTE ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602737",
            "telephone_number": "860-889-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 NORWICH NEW LONDON TPKE",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "063822527",
            "telephone_number": "860-848-1297",
            "fax_number": "860-848-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACERTE",
        "first_name": "LINDA",
        "middle_name": "LEA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2013-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "036334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001363340",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uncasville, CT

Sources for this page

Verify at the official NPI Registry.