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LIBBY FLEISCHER WILSON M.D.
NPI 1568405546
Surgery - Plastic and Reconstructive Surgery in Los Angeles, CA

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
403 W. ADAMS BLVD., LOS ANGELES, CA 90007(213) 742-1433(213) 742-1496 Get Directions Write a Review

NPPES record last updated: January 14, 2015. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Libby Fleischer Wilson M.d. NPPES

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

LIBBY FLEISCHER WILSON M.D. (NPI 1568405546) is an individual plastic and reconstructive surgery provider in Los Angeles, California, licensed in California (G18778) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Medical College Of Pennsylvania (1999).

NPPES Registry Identity

NPI1568405546
Entity TypeIndividualFemale
Primary Taxonomy2086S0122X
Provider Legal NameLIBBY FLEISCHER WILSONCredential: M.D.
Location Address403 W. ADAMS BLVD.Los Angeles, CA 90007-2664
Mailing Address403 W. Adams Blvd.Los Angeles, CA 90007-2664 · (213) 742-1433 · Fax (213) 742-1496
Phone(213) 742-1433
Fax(213) 742-1496
Sole ProprietorYes
Medical School CMSMedical College Of PennsylvaniaGraduated 1999
Enumeration DateJune 14, 2006
Last NPPES UpdateJanuary 14, 2015
✔ NPI 1568405546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in CA · G18778
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedSpecialistTaxonomy 174400000X · License G18778 (CA)
Also ListedPlastic SurgeryTaxonomy 208200000X · License G18778 (CA)
403 W. ADAMS BLVD., Los Angeles, CA 90007
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Other Identifiers 1

Medicare UPIN00G187780CA

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

Libby Fleischer Wilson M.d. 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 ID6406869817
PECOS Enrollment IDI20060731000466
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.

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 Libby Wilson's NPI number?

The NPI number for Libby Wilson is 1568405546. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Libby Wilson located?

Libby Wilson practices at 403 W. Adams Blvd., Los Angeles, CA 90007. The listed phone number is (213) 742-1433.

What is Libby Wilson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Libby Wilson enrolled in Medicare?

Yes. Libby Wilson 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 Libby Wilson was last updated on January 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.