Connie Marie Wilson, DO in Ada, OK - Medicare Emergency Medicine

Connie Marie Wilson, DO is a medicare enrolled "Internal Medicine" physician in Ada, Oklahoma. She went to Oklahoma State University College Of Osteopathic Medicine and graduated in 1995 and has 30 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Chickasaw Nation Division Of Health and her current practice location is 1921 Stonecipher Blvd, Ada, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 421-4570.

Connie Marie Wilson is licensed to practice in Oklahoma (license number 3394) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235192881.

Contact Information

	Connie Marie Wilson, DO
	1921 Stonecipher Blvd, Ada, OK 74820
	(580) 421-4570
	Not Available

Map and Direction

Physician's Profile

Full Name	Connie Marie Wilson
Gender	Female
Speciality	Emergency Medicine
Experience	30 Years
Location	1921 Stonecipher Blvd, Ada, Oklahoma
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Connie Marie Wilson attended and graduated from Oklahoma State University College Of Osteopathic Medicine in 1995

NPI Data:

NPI Number: 1235192881
Provider Enumeration Date: 04/06/2006
Last Update Date: 10/30/2025

Medicare PECOS Information:

PECOS PAC ID: 1759470354
Enrollment ID: I20120306001024

Medical Identifiers

Medical identifiers for Connie Marie Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235192881	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	3394 (Oklahoma)	Primary
207PE0004X	Emergency Medicine - Emergency Medical Services	3394 (Oklahoma)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mays Housecall Home Health Of Durant	Durant, OK	Home health agency
Ideal Home Care, Lp	Ardmore, OK	Home health agency
Chickasaw Nation Medical Center	Ada, OK	Hospital
Mercy Hospital Ardmore, Inc	Ardmore, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Chickasaw Nation Division Of Health	8426957523	217

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Connie Marie Wilson allows following entities to bill medicare on her behalf.

Entity Name	Chickasaw Nation Division Of Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255364923 PECOS PAC ID: 8426957523 Enrollment ID: O20040108000364

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Connie Marie Wilson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Connie Marie Wilson, DO 1921 Stonecipher Blvd, Ada, OK 74820 Ph: (580) 421-4570	Connie Marie Wilson, DO 1921 Stonecipher Blvd, Ada, OK 74820 Ph: (580) 421-4570

Reviews and Comments

Internal Medicine Doctors in Ada, OK

Gary L Paddack, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 902 Arlington Ctr, Pmb 224, Ada, OK 74820 Phone: 580-436-2262 Fax: 580-272-0186
Dr. Shirley J Welden, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-421-4570
Dr. Shrina Parekh, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-301-6465
Elizabeth Omojasola Omoniyi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 520 N Monte Vista St Ste A, Ada, OK 74820 Phone: 580-453-3545 Fax: 580-453-3546
Masood Ghouse, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 430 N Monte Vista St, Ada, OK 74820 Phone: 580-421-1141
Steven Louis Fillmore, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-421-4570

Connie Marie Wilson, DO - Medicare Emergency Medicine in Ada, OK