Mr Renjason C Patulot, MA is a
Speech-language Pathologist based in Red Oak, Iowa. Mr Renjason C Patulot is licensed to practice in Iowa (license number 093927) and his current practice location is
2301 Eastern Ave, Red Oak, Iowa. He can be reached at his office (for appointments etc.) via phone at
(712) 623-7163.
NPI number for Mr Renjason C Patulot is 1700353570 and his current mailing address is 400 E Coolbaugh St Apt 301, Red Oak, Iowa. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700353570.
Healthcare Provider's Profile
Full Name | Mr Renjason C Patulot |
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Gender | Male |
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Speciality | Speech-language Pathologist |
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Location | 2301 Eastern Ave, Red Oak, Iowa |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700353570
- Provider Enumeration Date: 10/30/2018
- Last Update Date: 10/30/2018
Medical Identifiers
Medical identifiers for Mr Renjason C Patulot such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700353570 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 093927 (Iowa) | 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 Renjason C Patulot 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 Renjason C Patulot, MA 400 E Coolbaugh St Apt 301, Red Oak, IA 51566-2359 Ph: (267) 423-3456 | Mr Renjason C Patulot, MA 2301 Eastern Ave, Red Oak, IA 51566-1305 Ph: (712) 623-7163 |
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