WALLACE LLERA M.D. – NPI #1013990332
Family Medicine
The NUCC recommends this code not be used. Choose a more appropriate code.
WALLACE LLERA is a physician located in PHILADELPHIA, PA. NPPES has assigned the NPI number 1013990332 to WALLACE LLERA on November 21, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine
The NPI profile was previously updated about 15 years ago on Jun 07, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WALLACE LLERA below.
NPI Profile for
WALLACE LLERA
(more than 20 years ago)
PHILADELPHIA, PA 19133-3644 Phone: (215) 291-2500 Fax: (215) 291-2587
PHILADELPHIA, PA 19130-2908 Phone: (215) 599-4851 Fax: (215) 232-4093
Identifiers for WALLACE LLERA
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | PA | 001019428 - 0022 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207QA0505X - Family Medicine / Adult Medicine (Primary) |
PA | MD038236L |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.