Marvin Moul, is a
Internal Medicine physician based in Fort Gibson, Oklahoma. Marvin Moul is licensed to practice in Oklahoma (license number 5887) and his current practice location is 104 Lone Oak Cir, Fort Gibson, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(918) 478-2101.
NPI number for Marvin Moul is 1811180664 and his current mailing address is 104 Lone Oak Circle, Fort Gibson, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. 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 | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811180664
- Provider Enumeration Date: 08/24/2007
- Last Update Date: 07/21/2022
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
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 |
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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