Mark John Iacobucci, MD | |
3235 Academy Ave, Suite 200, Portsmouth, VA 23703 | |
(757) 483-0400 | |
(757) 548-9563 |
Full Name | Mark John Iacobucci |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 28 Years |
Location | 3235 Academy Ave, Portsmouth, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295715324 | NPI | - | NPPES |
1295715324 | Medicaid | VA | |
294885 | Other | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 0101056490 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Virginia Eye Consultants Inc | 6608860978 | 49 |
Entity Name | Virginia Eye Consultants Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992727820 PECOS PAC ID: 6608860978 Enrollment ID: O20040409000511 |
Entity Name | Tidewater Eye Center Spc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578638748 PECOS PAC ID: 7719938679 Enrollment ID: O20050208000963 |
Mailing Address | Practice Location Address |
---|---|
Mark John Iacobucci, MD 4445 Lake Forest Dr, Ste 600, Blue Ash, OH 45242-3744 Ph: (513) 569-3741 | Mark John Iacobucci, MD 3235 Academy Ave, Suite 200, Portsmouth, VA 23703 Ph: (757) 483-0400 |
Dr. Kimberly D Davis, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Circle, Naval Medical Center Portsmouth, Portsmouth, VA 23708 Phone: 757-953-5000 | |
Roger W Newsom, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3235 Academy Ave, Suite 200, Portsmouth, VA 23703 Phone: 757-483-0400 | |
John T Edmonds, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3235 Academy Ave, Suite 200, Portsmouth, VA 23703 Phone: 757-483-0400 | |
Mark A Pavilack, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3235 Academy Ave, Suite 200, Portsmouth, VA 23703 Phone: 757-483-0400 | |
Dr. Kori A Elkins, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3235 Academy Ave, Suite 200, Portsmouth, VA 23703 Phone: 757-483-0400 | |
Evan M Berger, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3235 Academy Ave Ste 200, Portsmouth, VA 23703 Phone: 757-397-7858 |