Blake Lynn Wilson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Ada, OK

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Blake Lynn Wilson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ada, Oklahoma. He graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Western Oklahoma Anesthesia Consultants Pllc, Sc Anesthesia Llc and his current practice location is 2001 Cradduck Rd, Ada, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 514-4786.

Blake Lynn Wilson is licensed to practice in Oklahoma (license number 89530) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1568712768.

Contact Information

Blake Lynn Wilson, CRNA
2001 Cradduck Rd,
Ada, OK 74820-9400
(405) 514-4786
(405) 758-5582

Map and Direction




Provider's Profile

Full NameBlake Lynn Wilson
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience14 Years
Location2001 Cradduck Rd, Ada, Oklahoma
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Blake Lynn Wilson graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1568712768
  • Provider Enumeration Date: 09/14/2012
  • Last Update Date: 08/13/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7911156104
  • Enrollment ID: I20121003000477

Medical Identifiers

Medical identifiers for Blake Lynn Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568712768NPI-NPPES
200454040AMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 89530 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mcalester Regional Health CenterMcalester, OKHospital
Mercy Hospital AdaAda, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Western Oklahoma Anesthesia Consultants Pllc458792486516
Sc Anesthesia Llc70123824683

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. Blake Lynn Wilson allows following entities to bill medicare on his behalf.
Entity NameWestern Oklahoma Anesthesia Consultants Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881102614
PECOS PAC ID: 4587924865
Enrollment ID: O20180206000663
Entity NameAnesthesia Management Solutions Of Oklahoma Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003375650
PECOS PAC ID: 7618219213
Enrollment ID: O20190501001353
Entity NameEmergenchealth Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467970897
PECOS PAC ID: 1355606641
Enrollment ID: O20190618003098
Entity NameWestern Oklahoma Anesthesia Consultants Woodward Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427615731
PECOS PAC ID: 3779817960
Enrollment ID: O20190621000715
Entity NameSc Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962106013
PECOS PAC ID: 7012382468
Enrollment ID: O20230818001535

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. Blake Lynn 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 AddressPractice Location Address
Blake Lynn Wilson, CRNA
1813 S 14th St,
Mcalester, OK 74501-7220

Ph: () -		Blake Lynn Wilson, CRNA
2001 Cradduck Rd,
Ada, OK 74820-9400

Ph: (405) 514-4786

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Ada, OK

Johnny J Sacco, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1921 Stonecipher Dr, Ada, OK 74820
Phone: 580-436-3980    Fax: 580-421-6283
Tina S Johnston, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1921 Stonecipher Dr, Ada, OK 74820
Phone: 580-436-3980    
Mr. Mark E. Bucher, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2001 Cradduck Rd, Ada, OK 74820
Phone: 405-514-4786    Fax: 405-758-5354
Gerald E Joseph, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 2001 Cradduck Rd, Ada, OK 74820
Phone: 405-514-4786    Fax: 405-758-5354
Jerry Gregory,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820
Phone: 580-421-4570    Fax: 580-421-6258
Carol Lynn Rhoads, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1921 Stonecipher Dr, Chickasaw Nation Health System, Ada, OK 74820
Phone: 580-421-6248    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.