Emma Catherine Bacon, PA-C
Individual provider Active NPI Medical Physician Assistant · Hartford, CT
NPI 1972168474 · NPPES record last updated May 13, 2024
Key facts
- NPI
- 1972168474
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- Practice address
- 80 Seymour St
Hartford, CT 06106-3300 - Phone
- (860) 545-5000
- NPI assigned
- May 9, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hartford Hospital
Practice addresses (Care Compare)
80 Seymour St
Hartford, CT 06102-8000
Phone (860) 545-7500
Hospital & facility affiliations
- Hartford Hospital
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240716003222 | CT | Practitioner - Physician Assistant | 1456896281 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6650 | CT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Hospital | Current |
Accepting new patients |
Locations
80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249
1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Yes |
Addresses
Primary practice location
80 Seymour St
Hartford, CT 06106-3300
Mailing address
97 Fern St Apt 6
Hartford, CT 06105-6201
Phone (774) 249-3543
Other providers in Hartford, CT
- Araz Baboujian
- Ryan James Bachrach
- Jessica C. Backer Wilde
- Ainsley E Backman
- Bruce A. Backus
- Cynthia Day Baczewski
- Veronica A. Badiola
- Kriti Badola
- Simonida Maria Baeter
- Daisy Baez
All providers in Hartford, CT · Medical 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 13, 2024. 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.