Jaclyn Nicole Iacobelli, AUD CCC-A is a medicare enrolled "Audiologist" provider in Howard Beach, New York. Her current practice location is
160-08 Crossbay Blvd, Howard Beach, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 323-1128.
Jaclyn Nicole Iacobelli is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881266237.
Healthcare Provider's Profile
| Full Name | Jaclyn Nicole Iacobelli |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 160-08 Crossbay Blvd, Howard Beach, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1881266237
- Provider Enumeration Date: 07/14/2021
- Last Update Date: 02/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 0244609402
- Enrollment ID: I20221209000584
Medical Identifiers
Medical identifiers for Jaclyn Nicole Iacobelli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881266237 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | (* (Not Available)) | Primary |
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. Jaclyn Nicole Iacobelli allows following entities to bill medicare on her behalf.
| Provider Name | Audiology Distribution Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1164707998
PECOS PAC ID: 0840459103
Enrollment ID: O20120514000003 |
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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. Jaclyn Nicole Iacobelli 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 |
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Jaclyn Nicole Iacobelli, AUD CCC-A
625 E Fordham Rd,
Bronx, NY 10458-5049
Ph: (917) 473-6920 | Jaclyn Nicole Iacobelli, AUD CCC-A
160-08 Crossbay Blvd,
Howard Beach, NY 11414
Ph: (718) 323-1128 |
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