Wilson L Davis, MD is a medicare enrolled "Internal Medicine" physician in Tishomingo, Oklahoma. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 1978 and has 46 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Family Health Center Of Southern Oklahoma Inc and his current practice location is
610 E 24th St, Tishomingo, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 371-2343.
Wilson L Davis is licensed to practice in Oklahoma (license number 34304) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184633521.
Physician's Profile
| Full Name | Wilson L Davis |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 46 Years |
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| Location | 610 E 24th St, Tishomingo, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Wilson L Davis attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1978
NPI Data:
- NPI Number: 1184633521
- Provider Enumeration Date: 08/05/2006
- Last Update Date: 12/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 6901717131
- Enrollment ID: I20181210001042
Medical Identifiers
Medical identifiers for Wilson L Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184633521 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 34304 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Family Health Center Of Southern Oklahoma Inc | 4284537457 | 20 |
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. Wilson L Davis allows following entities to bill medicare on his behalf.
| Entity Name | Family Health Center Of Southern Oklahoma Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598803942
PECOS PAC ID: 4284537457
Enrollment ID: O20040127001108 |
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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. Wilson L Davis 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 |
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Wilson L Davis, MD
610 E 24th St,
Tishomingo, OK 73460-3245
Ph: (580) 371-2343 | Wilson L Davis, MD
610 E 24th St,
Tishomingo, OK 73460
Ph: (580) 371-2343 |
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