Individual ProviderIsabelita P WijangcoInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address250 E Liberty St, Suite 410, Louisville, KY 40202-1530(502) 587-0521PECOS EnrollmentBased on the most recent information from CMS, provider Isabelita P Wijangco does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1659392991Provider TypeIndividualFull NameWijangco, Isabelita PTitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date7/22/2006Last Updated8/7/2012Contact InformationPractice LocationPractice Address250 E Liberty St, Suite 410, Louisville, KY 40202-1530Phone(502) 587-0521Fax(502) 587-3885Mailing LocationMailing Address250 E Liberty St, Suite 410, Louisville, KY 40202-1530Phone(502) 587-0521Fax(502) 587-3885Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense17252KentuckyProvider IdentifiersIDDescriptionIssuerID64172521DescriptionMedicaidIssuerUnlistedKentuckyID1659392991DescriptionOtherIssuerNPIKentucky