DR. DEIDRE A WILSON D.O.
NPI 1760634471
General Practice in Phoenix, AZ

NPI Status: Active since October 14, 2008

Contact Information

8326 N 7TH ST
PHOENIX, AZ
ZIP 85020
Phone: (602) 305-5100

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  • Individual
  • Female
  • General Practice
  • Accepts Insurance
  • PECOS Enrolled

About DEIDRE WILSON

This page provides the complete NPI Profile along with additional information for Deidre Wilson, a primary care provider established in Phoenix, Arizona with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1760634471 assigned on October 2008. The practitioner's primary taxonomy code is 208D00000X with license number 4042 (AZ). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1760634471
Provider Name
DR. DEIDRE A WILSON D.O.
Gender
Female
Entity Type
Individual
Location Address
8326 N 7TH ST PHOENIX, AZ 85020
Location Phone
(602) 305-5100
Mailing Address
1180 NEWFIELD AVE STAMFORD, CT 06905
Mailing Phone
(314) 888-5233
Is Sole Proprietor?
Yes
Enumeration Date
10-14-2008
Last Update Date
06-08-2023
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A primary care provider (PCP) like Deidre Wilson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 103 E Indiana Ave # B
    Spokane, WA 99207
    (509) 444-9035

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
4042
License State
AZ
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Deidre Wilson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1760634471
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271201238414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 2 + 3 + 8 + 4 + 1 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1760634471 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760634471, enumerated in the NPI registry as an "individual" on October 14, 2008

The provider is located at 8326 N 7th St Phoenix, Az 85020 and the phone number is (602) 305-5100

The provider's speciality is General Practice with taxonomy code 208D00000X

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

This NPI record was last updated on October 14, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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