Connie Marie Wilson, FNP is a medicare enrolled "Nurse Practitioner" in Athol, Idaho. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Idaho Day Surgery Llc and her current practice location is
7173 E Super 1 Loop Ste B, Athol, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 561-9901.
Connie Marie Wilson is licensed to practice in Idaho (license number NP-1655A) 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 1619341260.
Provider's Profile
| Full Name | Connie Marie Wilson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 7173 E Super 1 Loop Ste B, Athol, Idaho |
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| Accepts Medicare Assignments | Yes. She 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:
- Connie Marie Wilson graduated from nursing school in 2015
NPI Data:
- NPI Number: 1619341260
- Provider Enumeration Date: 11/19/2015
- Last Update Date: 07/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 9931401213
- Enrollment ID: I20160104000804
Medical Identifiers
Medical identifiers for Connie Marie Wilson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619341260 | NPI | - | NPPES |
| 1619341260 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | NP-1655A (Idaho) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| North Idaho Day Surgery Llc | 0840101218 | 73 |
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. Connie Marie Wilson allows following entities to bill medicare on her behalf.
| Entity Name | North Idaho Day Surgery Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104824739
PECOS PAC ID: 0840101218
Enrollment ID: O20110401000539 |
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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. Connie Marie 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 |
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Connie Marie Wilson, FNP
1593 E Polston Ave,
Post Falls, ID 83854-5326
Ph: (208) 262-2498 | Connie Marie Wilson, FNP
7173 E Super 1 Loop Ste B,
Athol, ID 83801-7109
Ph: (208) 561-9901 |
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