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ELIZABETH MARIE WACKER MD
NPI 1467912303
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Philadelphia, PA

Active since March 25, 2019PECOS EnrolledAccepts Medicare Assignment
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC ORTHOPAEDIC SURGERY, PHILADELPHIA, PA 19104(267) 590-1527 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elizabeth Marie Wacker Md NPPES

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

ELIZABETH MARIE WACKER MD (NPI 1467912303) is an individual pediatric orthopaedic surgery provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT230712) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cincinnati, and is a graduate of University Of Cincinnati College Of Medicine (2019).

NPPES Registry Identity

NPI1467912303
Entity TypeIndividualFemale
Primary Taxonomy207XP3100X
Provider Legal NameELIZABETH MARIE WACKERCredential: MD
Location Address3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC ORTHOPAEDIC SURGERYPhiladelphia, PA 19104
Mailing Address3401 Civic Center Blvd, Division Of Pediatric Orthopaedic SurgeryPhiladelphia, PA 19104 · (267) 590-1527
Phone(267) 590-1527
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2019
Enumeration DateMarch 25, 2019
Last NPPES UpdateJune 27, 2024
NPPES CertifiedJune 27, 2024
✔ NPI 1467912303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XP3100X
License✔ Licensed in PA · MT230712
Definition
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Secondary Practice Location 1

Location 1234 Goodman StreetCincinnati, OH 45219-0796 · Phone (513) 558-4592 · Fax (513) 558-2220

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Marie Wacker Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002141181
PECOS Enrollment IDI20250922000171
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 20

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

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Elizabeth Wacker's NPI number?

The NPI number for Elizabeth Wacker is 1467912303. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Elizabeth Wacker located?

Elizabeth Wacker practices at 3401 Civic Center Blvd Division Of Pediatric Orthopaedic Surgery, Philadelphia, PA 19104. The listed phone number is (267) 590-1527.

What is Elizabeth Wacker's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Is Elizabeth Wacker enrolled in Medicare?

Yes. Elizabeth Wacker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Elizabeth Wacker was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.