Mr Renald Rouillard, BS - Physician Assistant in Portsmouth, NH

Mr Renald Rouillard, BS is a Physician Assistant - Medical based in Portsmouth, New Hampshire. Mr Renald Rouillard is licensed to practice in * (Not Available) (license number 1005728) and his current practice location is 1 Ayers Cir, Bldg H-1, Portsmouth, New Hampshire. He can be reached at his office (for appointments etc.) via phone at (207) 438-1130.

NPI number for Mr Renald Rouillard is 1184609125 and his current mailing address is 43 Smith Rd, Attn: Professional Affairs, Newport, Rhode Island. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1184609125.

Contact Information

Mr Renald Rouillard, BS
1 Ayers Cir, Bldg H-1,
Portsmouth, NH 03801-3892
(207) 438-1130
(207) 438-2438



Provider's Profile

Full NameMr Renald Rouillard
GenderMale
SpecialityPhysician Assistant - Medical
Location1 Ayers Cir, Portsmouth, New Hampshire
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1184609125
  • Provider Enumeration Date: 12/13/2005
  • Last Update Date: 11/07/2007

Medical Identifiers

Medical identifiers for Mr Renald Rouillard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184609125NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 1005728 (* (Not Available))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 Renald Rouillard 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 AddressPractice Location Address
Mr Renald Rouillard, BS
43 Smith Rd, Attn: Professional Affairs,
Newport, RI 02841-1002

Ph: (401) 841-4522
Mr Renald Rouillard, BS
1 Ayers Cir, Bldg H-1,
Portsmouth, NH 03801-3892

Ph: (207) 438-1130

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› Verified 8 days ago


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