Dr Wallace Llera, MD - Family Medicine in Philadelphia, PA

Dr Wallace Llera, MD is a Family Medicine - Adult Medicine physician based in Philadelphia, Pennsylvania. Dr Wallace Llera is licensed to practice in Pennsylvania (license number MD038236L) and his current practice location is 401-55 W Allegheny Ave, Philadelphia, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at (215) 291-2500.

NPI number for Dr Wallace Llera is 1013990332 and his current mailing address is 1412 Fairmount Ave, Philadelphia, Pennsylvania. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013990332.

Contact Information

Dr Wallace Llera, MD
401-55 W Allegheny Ave,
Philadelphia, PA 19133-3644
(215) 291-2500
(215) 291-2587



Physician's Profile

Full NameDr Wallace Llera
GenderMale
SpecialityFamily Medicine - Adult Medicine
Location401-55 W Allegheny Ave, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013990332
  • Provider Enumeration Date: 11/21/2005
  • Last Update Date: 06/07/2011

Medical Identifiers

Medical identifiers for Dr Wallace Llera such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013990332NPI-NPPES
001019428 - 0022MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0505XFamily Medicine - Adult Medicine MD038236L (Pennsylvania)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Wallace Llera is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Wallace Llera, MD
1412 Fairmount Ave,
Philadelphia, PA 19130-2908

Ph: (215) 599-4851
Dr Wallace Llera, MD
401-55 W Allegheny Ave,
Philadelphia, PA 19133-3644

Ph: (215) 291-2500

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› Verified 3 days ago


Family Medicine Doctors in Philadelphia, PA

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Phone: 215-745-9900    Fax: 215-745-9902

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