Conor Patrick Wilson, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Hartford, Connecticut. His current practice location is
200 Retreat Ave, Hartford, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 545-7239.
Conor Patrick Wilson is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164171690.
Physician's Profile
| Full Name | Conor Patrick Wilson |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 200 Retreat Ave, Hartford, Connecticut |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164171690
- Provider Enumeration Date: 03/22/2022
- Last Update Date: 05/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 0547645269
- Enrollment ID: I20220916001111
Medical Identifiers
Medical identifiers for Conor Patrick Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164171690 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 81205 (Connecticut) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Conor Patrick 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 |
|---|
Conor Patrick Wilson, DO
725 North St,
Pittsfield, MA 01201-4124
Ph: (413) 395-7513 | Conor Patrick Wilson, DO
200 Retreat Ave,
Hartford, CT 06106-3309
Ph: (860) 545-7239 |
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