MEDICARE: WEIYE LI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	MD420302	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10729	OTHER	PA	ELDER HEALTH
2	1466302	OTHER	PA	BLUE CROSS BLUE SHIELD
3	21505410000	OTHER	PA	KEYSTONE INDIVIDULE
4	X002529001	OTHER	PA	AMERICHOICE
5	3143519	OTHER	PA	AETNA US HEALTHCARE INDIV
6	7001998	OTHER	PA	CIGNA
7	300107760	OTHER	PA	KEYSTONE MERCY HEALTH PLA
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	A19503	OTHER	PA	AMERIHEALTH
10	0794182000	OTHER	PA	KEYSTONE GROUP
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	1466302	OTHER	DE	DELAWARE BLUE CROSS BLUE
13	31188	OTHER	PA	AETNA US HEALTHCARE GROUP
14	37992	OTHER	PA	HEALTH PARTNERS

General Provider Information

NPI Number	:	1659340420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WEIYE LI M.D.

Provider Business Mailing Address
First Line	:	1740 SOUTH ST STE 400
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19146-1514
Country	:	US
Telephone Number	:	267-607-6888
Fax Number	:	267-393-4310

Provider Business Practice Location Address
First Line	:	1740 SOUTH ST STE 400
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19146-1514
Country	:	US
Telephone Number	:	267-607-6888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2006
Last Update Date	:	08/12/2019

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Directions to “ WEIYE LI M.D.” Practice Location

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