Dr Audrey Jane Iacobucci, MD in Blackwood, NJ

Dr Audrey Jane Iacobucci, MD is a medicare enrolled "Pediatrics" physician in Blackwood, New Jersey. Her current practice location is 527 S Black Horse Pike, Blackwood, New Jersey. You can reach out to her office (for appointments etc.) via phone at (856) 228-1061.

Dr Audrey Jane Iacobucci is licensed to practice in New Jersey (license number 25MA08469700) 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 1154589869.

Contact Information

	Dr Audrey Jane Iacobucci, MD
	527 S Black Horse Pike, Blackwood, NJ 08012-2868
	(856) 228-1061
	(856) 228-1907

Map and Direction

Physician's Profile

Full Name	Dr Audrey Jane Iacobucci
Gender	Female
Speciality	Pediatrics
Location	527 S Black Horse Pike, Blackwood, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154589869
Provider Enumeration Date: 05/29/2008
Last Update Date: 05/26/2011

Medicare PECOS Information:

PECOS PAC ID: 4284903733
Enrollment ID: I20170627001824

Medical Identifiers

Medical identifiers for Dr Audrey Jane Iacobucci such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154589869	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	25MA08469700 (New Jersey)	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. Dr Audrey Jane Iacobucci allows following entities to bill medicare on her behalf.

Entity Name	Advocare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20040510001217

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. Dr Audrey Jane Iacobucci 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
Dr Audrey Jane Iacobucci, MD 402 Lippincott Dr, Marlton, NJ 08053-4112 Ph: (856) 782-3300	Dr Audrey Jane Iacobucci, MD 527 S Black Horse Pike, Blackwood, NJ 08012-2868 Ph: (856) 228-1061

Reviews and Comments

Pediatrics Doctors in Blackwood, NJ

Dr. Joseph J Delgiorno, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 527 S Black Horse Pike, Blackwood, NJ 08012 Phone: 856-228-1061 Fax: 856-228-1907
Christine Ferandos Petrozzino, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 535 S Black Horse Pike, Blackwood, NJ 08012 Phone: 856-228-1061 Fax: 856-228-1907
Dr. Harold Vincent Salvati, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 527 S Black Horse Pike, Blackwood, NJ 08012 Phone: 856-228-1061 Fax: 856-228-1907
John Michael Delgiorno, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 535 S Black Horse Pike, Blackwood, NJ 08012 Phone: 856-228-1061
Brittany Rose Owens, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 535 S Black Horse Pike, Blackwood, NJ 08012 Phone: 856-228-1061 Fax: 856-228-1907
Dr. Daniel Pereira Costa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: Advocare Delgiorno Pediatric & Adult Medicine, 535 S. Black Horse Pike, Blackwood, NJ 08012 Phone: 856-228-1061 Fax: 856-228-1907

Dr Audrey Jane Iacobucci, MD - Medicare Pediatrics in Blackwood, NJ