Louisa Rae Acca, PA-C
Individual provider Active NPI Physician Assistant · Hartford, CT
NPI 1679265458 · NPPES record last updated May 22, 2023
Key facts
- NPI
- 1679265458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 114 Woodland St
Hartford, CT 06105-1208 - Phone
- (860) 714-4000
- NPI assigned
- May 22, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CT, MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230824003245 | CT | Practitioner - Physician Assistant | 1850754748 | Reassigns benefits to 1 organization |
| I20240412000132 | MA | Practitioner - Physician Assistant | 1850754748 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Health of New England Provider Network Organization Inc | Current |
Accepting new patients |
Locations
114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001
Interoperability endpoints
- lacca2999026@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | CT | Yes |
Addresses
Primary practice location
114 Woodland St
Hartford, CT 06105-1208
Mailing address
179 Orchard St
Rocky Hill, CT 06067-2071
Phone (860) 803-3889
Other providers in Hartford, CT
- Jonathan Abrams
- Alexis Abreu
- Lauren L Abric
- Abundant Life Center
- Abundant Life Family Center
- Access Greenadine LLC
- Access Healthcare PC
- Accurate Health Care LLC
- Marisol Acevedo-Cruz
- Nizida Valiuska Acharte
All providers in Hartford, CT · Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.