Vivian L Wilson, MD in Spencer, OK - Medicare Family Practice

Vivian L Wilson, MD is a medicare enrolled "Family Medicine" physician in Spencer, Oklahoma. She went to University Of Colorado School Of Medicine, Denver and graduated in 1977 and has 49 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Community Health Centers, Inc. and her current practice location is 12716 Ne 36th St, Spencer, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 769-3301.

Vivian L Wilson is licensed to practice in Oklahoma (license number 11902) 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 1386753945.

Contact Information

	Vivian L Wilson, MD
	12716 Ne 36th St, Spencer, OK 73084-9167
	(405) 769-3301
	(405) 769-9685

Map and Direction

Physician's Profile

Full Name	Vivian L Wilson
Gender	Female
Speciality	Family Practice
Experience	49 Years
Location	12716 Ne 36th St, Spencer, 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:

Vivian L Wilson attended and graduated from University Of Colorado School Of Medicine, Denver in 1977

NPI Data:

NPI Number: 1386753945
Provider Enumeration Date: 08/29/2006
Last Update Date: 07/08/2026

Medicare PECOS Information:

PECOS PAC ID: 1355385014
Enrollment ID: I20050614000233

Medical Identifiers

Medical identifiers for Vivian L Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386753945	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	11902 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Alliancehealth Midwest	Midwest city, OK	Hospital
O U Medical Center	Oklahoma city, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Community Health Centers, Inc.	4688584436	9

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. Vivian L Wilson allows following entities to bill medicare on her behalf.

Entity Name	Community Health Centers, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265415806 PECOS PAC ID: 4688584436 Enrollment ID: O20060914000328

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. Vivian L 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
Vivian L Wilson, MD Po Box 30589, 12716 N.e. 36th Street, Midwest City, OK 73140-3589 Ph: (405) 769-3301	Vivian L Wilson, MD 12716 Ne 36th St, Spencer, OK 73084-9167 Ph: (405) 769-3301

Reviews and Comments

Family Medicine Doctors in Spencer, OK

Dr. Hung Tran, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12716 Ne 36th St, Spencer, OK 73084 Phone: 405-769-3301 Fax: 405-769-9685
Dr. Patrick James Kennedye, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2601 Spencer Rd, Spencer, OK 73084 Phone: 405-427-2441 Fax: 405-427-4741
Gauri Ghate, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12716 Ne 36th St, Spencer, OK 73084 Phone: 405-769-3301 Fax: 405-769-0290

Vivian L Wilson, MD - Medicare Family Practice in Spencer, OK