| Dr Reynald Pouliot, MD | |
|
265b Commercial Blvd, Lauderdale By The Sea, FL 33308-4442 | |
| (954) 772-3960 | |
| (954) 772-3981 |
| Full Name | Dr Reynald Pouliot |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 53 Years |
| Location | 265b Commercial Blvd, Lauderdale By The Sea, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003882069 | NPI | - | NPPES |
| 065023400 | Medicaid | FL | |
| 4421890 | Other | FL | AETNA PPO |
| 07023720 | Other | FL | UNITED |
| 2080754 | Other | FL | AETNA HMO |
| 93842 | Other | FL | BC/BS OF FL |
| 257650 | Other | FL | AVMED |
| 3967705006 | Other | FL | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | ME 36312 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vitalmd Group Holding Llc | 8921091786 | 488 |
| Entity Name | Vitalmd Group Holding Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871572032 PECOS PAC ID: 8921091786 Enrollment ID: O20040406001878 |
| Entity Name | Pediatrix Medical Group Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083711790 PECOS PAC ID: 4486634417 Enrollment ID: O20040721000998 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Reynald Pouliot, MD 265b Commercial Blvd, Lauderdale By The Sea, FL 33308-4442 Ph: (954) 772-3960 | Dr Reynald Pouliot, MD 265b Commercial Blvd, Lauderdale By The Sea, FL 33308-4442 Ph: (954) 772-3960 |
Laurel Hallson, Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 4401 W Tradewinds Ave, Lauderdale By The Sea, FL 33308 Phone: 954-817-5653 Fax: 954-776-6969 | |
Dr. Lillian Marie Decosimo, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5200 N Ocean Blvd Apt 706, Lauderdale By The Sea, FL 33308 Phone: 703-859-5225 Fax: 844-898-2182 | |
Marielena Guerra, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 265 Commercial Blvd, Lauderdale By The Sea, FL 33308 Phone: 954-772-3960 Fax: 855-494-7111 |