Robert Keith Dubard, CRNA is a
Nurse Anesthetist, Certified Registered based in Grenada, Mississippi. Robert Keith Dubard is licensed to practice in Mississippi (license number R538302) and his current practice location is
960 Avent Dr, Grenada, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(662) 227-7000.
NPI number for Robert Keith Dubard is 1134317787 and his current mailing address is 234 Courtside Dr S, Grenada, Mississippi. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134317787.
Provider's Profile
| Full Name | Robert Keith Dubard |
|---|
| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 960 Avent Dr, Grenada, Mississippi |
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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: 1134317787
- Provider Enumeration Date: 10/09/2007
- Last Update Date: 01/23/2017
Medical Identifiers
Medical identifiers for Robert Keith Dubard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134317787 | NPI | - | NPPES |
| R538302 | Other | MS | ST |
| 00017441 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R538302 (Mississippi) | 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. Robert Keith Dubard 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 |
|---|
Robert Keith Dubard, CRNA
234 Courtside Dr S,
Grenada, MS 38901-5536
Ph: (662) 226-0287 | Robert Keith Dubard, CRNA
960 Avent Dr,
Grenada, MS 38901-5230
Ph: (662) 227-7000 |
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