Vicky Lynn Weidner, MD is a medicare enrolled "Emergency Medicine" physician in Wyandotte, Oklahoma. She went to University Of Oklahoma College Of Medicine and graduated in 1984 and has 42 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Wyandotte Nation and her current practice location is
1 Turtle Dr, Wyandotte, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 678-2282.
Vicky Lynn Weidner is licensed to practice in Oklahoma (license number 15349) 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 1770540221.
Physician's Profile
| Full Name | Vicky Lynn Weidner |
|---|
| Gender | Female |
|---|
| Speciality | Emergency Medicine |
|---|
| Experience | 42 Years |
|---|
| Location | 1 Turtle Dr, Wyandotte, 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:
- Vicky Lynn Weidner attended and graduated from University Of Oklahoma College Of Medicine in 1984
NPI Data:
- NPI Number: 1770540221
- Provider Enumeration Date: 04/27/2006
- Last Update Date: 12/10/2025
Medicare PECOS Information:
- PECOS PAC ID: 4284535394
- Enrollment ID: I20240410000561
Medical Identifiers
Medical identifiers for Vicky Lynn Weidner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770540221 | NPI | - | NPPES |
| 930016273 | Other | OK | RR MEDICARE |
| 100135210A | Medicaid | OK | |
| P00159520 | Other | OK | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 113030 (Montana) | Secondary |
| 207P00000X | Emergency Medicine | 12846203-1205 (Utah) | Secondary |
| 207P00000X | Emergency Medicine | M-16685 (Idaho) | Secondary |
| 207P00000X | Emergency Medicine | 15349 (Oklahoma) | Primary |
| 208D00000X | General Practice | 15349 (Oklahoma) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Wyandotte Nation | 6406748367 | 5 |
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. Vicky Lynn Weidner allows following entities to bill medicare on her behalf.
| Entity Name | Virtualcare Medical Group Pa |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1194308809
PECOS PAC ID: 7012311848
Enrollment ID: O20211217000249 |
|---|
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. Vicky Lynn Weidner 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 |
|---|
Vicky Lynn Weidner, MD
11933 S Erie Ave,
Tulsa, OK 74137-8433
Ph: (918) 261-1225 | Vicky Lynn Weidner, MD
1 Turtle Dr,
Wyandotte, OK 74370-2114
Ph: (918) 678-2282 |
Reviews and Comments