Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Alexis Inez Wickersham, MD

Individual provider Internal Medicine Physician · NPI 1720346919

Dr. Alexis Inez Wickersham, MD is an Internal Medicine in Philadelphia, Pennsylvania. Qualified in 2012, 14 years ago. Practices with Jefferson University Physicians, a 1,554-clinician group and accepts Medicare assignment. Licensed in Iowa and Pennsylvania.

Years since qualifying
14
Licensed in
IA, PA
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

833 Chestnut St Ste 701
Philadelphia, PA 19107-4414
Phone: (215) 955-6180
Fax: (215) 955-6410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD457296 (PA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD-41908 (IA)

Record details

NPI number1720346919
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 25, 2012
Last updated in NPPESSeptember 8, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Jefferson University Physicians — 1554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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