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THOMAS JAMES IACOVONI PA-C
NPI 1225262215
Physician Assistant - Medical in Danville, PA

Active since May 06, 2009PECOS Enrolled
603 E MARKET ST, SUITE 200 - CMSU, DANVILLE, PA 17821(570) 275-4962(570) 275-3098 Get Directions Write a Review

NPPES record last updated: August 11, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Thomas James Iacovoni Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS JAMES IACOVONI PA-C (NPI 1225262215) is an individual medical provider in Danville, Pennsylvania, licensed in Pennsylvania (MA053730) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225262215
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTHOMAS JAMES IACOVONICredential: PA-C
Location Address603 E MARKET ST, SUITE 200 - CMSUDanville, PA 17821-2161
Mailing Address603 E Market St, Suite 200 - CmsuDanville, PA 17821-2161 · (570) 275-4962 · Fax (570) 275-3098
Phone(570) 275-4962
Fax(570) 275-3098
Sole ProprietorYes
Enumeration DateMay 6, 2009
Last NPPES UpdateAugust 11, 2016
✔ NPI 1225262215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA053730
603 E MARKET ST, Danville, PA 17821
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas James Iacovoni Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CMSU MH/MR AND D&A PROGRAM
Community/Behavioral Health
603 E MARKET ST, SUITE 200
DANVILLE, PA 17821
Montour County (570) 275-4962
JEFF HISERMAN PT
Physical Therapist
603 E MARKET ST, SUITE 100
DANVILLE, PA 17821
Montour County (570) 275-4715
MS. CYNTHIA DIETZ R.N.
Registered Nurse
603 E MARKET ST, SUITE 200
DANVILLE, PA 17821
Montour County (570) 275-4962
AMY JEAN WEIDNER RN
Registered Nurse
603 E MARKET ST, SUITE 200
DANVILLE, PA 17821
Montour County (570) 275-4962

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Iacovoni's NPI number?

The NPI number for Thomas Iacovoni is 1225262215. It was assigned to this individual provider in the NPPES registry on May 6, 2009.

Where is Thomas Iacovoni located?

Thomas Iacovoni practices at 603 E Market St Suite 200 - Cmsu, Danville, PA 17821. The listed phone number is (570) 275-4962.

What is Thomas Iacovoni's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Thomas Iacovoni enrolled in Medicare?

Yes. Thomas Iacovoni is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thomas Iacovoni was last updated on August 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.