Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Erica Ann Iacobucci, RPA-C

Individual provider Surgical Physician Assistant · NPI 1154607950

Erica Ann Iacobucci, RPA-C is a Physician Assistant in Buffalo, New York. Qualified in 2007, 19 years ago. Practices with Great Lakes Physician PC, a 67-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
19
Licensed in
NY
In the registry since
2011
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Practice location Address checks out

565 Abbott Rd
Buffalo, NY 14220-2039
Phone: (716) 828-2464
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 011945 (NY)

Record details

NPI number1154607950
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedOctober 25, 2011
Last updated in NPPESAugust 22, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Great Lakes Physician Pc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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