Mr Marshall Threadgill, is a
Registered Nurse based in Indiahoma, Oklahoma. Mr Marshall Threadgill is licensed to practice in Texas (license number 450074) and his current practice location is
14 Sw Timber Lane Ln, Indiahoma, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(580) 246-8301.
NPI number for Mr Marshall Threadgill is 1033589106 and his current mailing address is 14 Sw Timber Lane Ln, Indiahoma, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033589106.
Provider's Profile
| Full Name | Mr Marshall Threadgill |
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| Gender | Male |
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| Speciality | Registered Nurse |
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| Location | 14 Sw Timber Lane Ln, Indiahoma, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1033589106
- Provider Enumeration Date: 10/02/2015
- Last Update Date: 10/02/2015
Medical Identifiers
Medical identifiers for Mr Marshall Threadgill such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033589106 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 450074 (Texas) | 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. Mr Marshall Threadgill is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Marshall Threadgill,
14 Sw Timber Lane Ln,
Indiahoma, OK 73552-2730
Ph: (580) 246-8301 | Mr Marshall Threadgill,
14 Sw Timber Lane Ln,
Indiahoma, OK 73552-2730
Ph: (580) 246-8301 |
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