Marvin Moul, is a medicare enrolled "Internal Medicine" physician in Fort Gibson, Oklahoma. His current practice location is
104 Lone Oak Cir, Fort Gibson, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 478-2101.
Marvin Moul is licensed to practice in Oklahoma (license number 5887) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1811180664.
Physician's Profile
Full Name | Marvin Moul |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 104 Lone Oak Cir, Fort Gibson, Oklahoma |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1811180664
- Provider Enumeration Date: 08/24/2007
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 3577832666
- Enrollment ID: I20240426001280
Medical Identifiers
Medical identifiers for Marvin Moul such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811180664 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 5887 (Oklahoma) | Primary |
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. Marvin Moul 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 |
Marvin Moul, 104 Lone Oak Circle, Fort Gibson, OK 74434 Ph: (918) 478-2101 | Marvin Moul, 104 Lone Oak Cir, Fort Gibson, OK 74434-5001 Ph: (918) 478-2101 |
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