Irina Iacobucci (NPI# 1679990048, PAC ID# 3678791639) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1679990048 |
| PAC ID by PECOS | 3678791639 |
| Professional Enrollment ID | I20180126002379 |
| Full Name | Irina Iacobucci |
| Organization Legal Name | SKY LAKES MEDICAL CENTER INC |
| Address |
1905 Main St Klamath Falls OR 97601-2638 |
| Phone Number | 5418824691 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1052204096 |
| Number of Group Practice Members | 118 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380050 | SKY LAKES MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1905 Main St, Klamath Falls, OR 97601-2638 | 5418824691 | SKY LAKES MEDICAL CENTER INC |
| Organization Legal Name | SKY LAKES MEDICAL CENTER INC |
| Physicians | 127 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Woodman | Obstetrics/gynecology | Sky Lakes Medical Center Inc | 2850 Daggett Ave, Klamath Falls, OR 97601-1107 |
| Nathan G Miller | Dermatology | Sky Lakes Medical Center Inc | 3000 Bryant Williams Dr, Klamath Falls, OR 97601-1139 |
| Monna Lee Alwine | Nurse Practitioner | Sky Lakes Medical Center Inc | 3001 Daggett Ave, Suite 101, Klamath Falls, OR 97601-1126 |
| Brady William Sweat | Nurse Practitioner | Sky Lakes Medical Center Inc | 2865 Daggett Ave, Sky Lakes Medical Center, Klamath Falls, OR 97601-1106 |
| Anne Kessler | Family Medicine | Sky Lakes Medical Center Inc | 2801 Daggett Ave, Klamath Falls, OR 97601-7150 |
| David M Chadbourne | Urology | Sky Lakes Medical Center Inc | 2630 Campus Dr, Klamath Falls, OR 97601-1105 |
| Randal A Machado | Family Medicine | Sky Lakes Medical Center Inc | 1905 Main St, Klamath Falls, OR 97601-2638 |
| Thomas R Brown | Diagnostic Radiology | Sky Lakes Medical Center Inc | 2900 Daggett Ave, Klamath Falls, OR 97601-7101 |
| Richard H Foster | Nurse Practitioner | Sky Lakes Medical Center Inc | 2617 Almond St, Klamath Falls, OR 97601-1116 |
| Stephen B Kornfeld | Medical Oncology | Sky Lakes Medical Center Inc | 2610 Uhrmann Rd, Klamath Falls, OR 97601-1123 |
| Street Address |
1905 MAIN ST |
| City | KLAMATH FALLS |
| State | OR |
| Zip | 97601-2638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randal A Machado | Family Medicine | Sky Lakes Medical Center Inc | 1905 Main St, Klamath Falls, OR 97601-2638 |
| Stewart Decker | Family Medicine | Sky Lakes Medical Center Inc | 1905 Main St, Klamath Falls, OR 97601-2638 |
| Brock T Trejo | Family Medicine | Sky Lakes Medical Center Inc | 1905 Main St, Klamath Falls, OR 97601-2638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristine L Taylor | Chiropractic | 2575 Campus Dr, Klamath Falls, OR 97601-1102 | |
| David M Chadbourne | Urology | Sky Lakes Medical Center Inc | 2630 Campus Dr, Klamath Falls, OR 97601-1105 |
| Raul A Mirande | General Surgery | 2664 Campus Dr, Klamath Falls, OR 97601-1105 | |
| Brady William Sweat | Nurse Practitioner | Sky Lakes Medical Center Inc | 2865 Daggett Ave, Sky Lakes Medical Center, Klamath Falls, OR 97601-1106 |
| Lien Ly | Emergency Medicine | Sky Lakes Medical Center Inc | 2865 Daggett Ave, Sky Lakes Medical Center, Klamath Falls, OR 97601-1106 |
| Dwight W Smith | Family Medicine | Sky Lakes Medical Center Inc | 2865 Daggett Ave, Sky Lakes Medical Center, Klamath Falls, OR 97601-1106 |
| Sharon K Cowie | Nurse Practitioner | Sky Lakes Medical Center Inc | 2865 Daggett Ave, Sky Lakes Medical Center, Klamath Falls, OR 97601-1106 |
| Beverly H Bauman | Emergency Medicine | Sky Lakes Medical Center Inc | 2865 Daggett Ave, Sky Lakes Medical Center, Klamath Falls, OR 97601-1106 |
| Charles K Cofas | Internal Medicine | Sky Lakes Medical Center Inc | 2865 Daggett Ave, Sky Lakes Medical Center, Klamath Falls, OR 97601-1106 |
| Radu C Moisa | Family Medicine | Sky Lakes Medical Center Inc | 2865 Daggett Ave, Sky Lakes Medical Center, Klamath Falls, OR 97601-1106 |
| Find all physicians in zip 97601 | |||
| City | KLAMATH FALLS |
| Zip Code | 97601 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | KLAMATH FALLS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Irina Iacobucci.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.