Lauren Bacon, MD
Individual provider Active NPI Emergency Medicine Physician · Farmington, CT
NPI 1972065613 · NPPES record last updated Sep 26, 2022
Key facts
- NPI
- 1972065613
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 72173 (CT)
- Practice address
- 263 Farmington Ave
Farmington, CT 06030-6237 - Phone
- (860) 679-7967
- NPI assigned
- Apr 2, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Howard University College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- State of Connecticut
Practice addresses (Care Compare)
263 Farmington Ave
Farmington, CT 06030-0001
Phone (860) 679-2000
Hospital & facility affiliations
- John Dempsey Hospital of the University of Connect
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220825000124 | CT | Practitioner - Emergency Medicine | 3375927395 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Connecticut | Emergency Medicine | Current | Accepting new patients |
| State of Connecticut | Current |
Accepting new patients | |
| State of Connecticut | Current |
Accepting new patients |
Locations
263 Farmington Ave
Farmington, CT 06030
Phone (860) 679-4477
Interoperability endpoints
- lbacon56911@direct.med.uchc.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | 72173 | CT | Yes |
Addresses
Primary practice location
263 Farmington Ave
Farmington, CT 06030-6237
Mailing address
263 Farmington Ave
Farmington, CT 06030-8082
Phone (860) 679-3692
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lbacon56911@direct.med.uchc.edu |
Other providers in Farmington, CT
- Alan Babigian
- Taylor Alexandra Babin
- Nancy D Baccaro
- David Anthony Bachoy
- Grant Backer
- Sana Badar
- Katarzyna Badzinska
- Hana Baig
- Ursula Violet Bailey
- Merry R Bajana
All providers in Farmington, CT · Emergency Medicine Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2022. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.