Dr Rene Charles Duffourc Iii, MD is a
Psychiatry & Neurology - Psychiatry physician based in Holiday Island, Arkansas. Dr Rene Charles Duffourc Iii is licensed to practice in Arkansas (license number E-6696) and his current practice location is 1 Park Dr, Suite C, Holiday Island, Arkansas. He can be reached at his office (for appointments etc.) via phone at
(479) 363-9174.
NPI number for Dr Rene Charles Duffourc Iii is 1720209588 and his current mailing address is Po Box 2580, Springfield, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720209588.
Physician's Profile
| Full Name | Dr Rene Charles Duffourc Iii |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 1 Park Dr, Holiday Island, Arkansas |
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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: 1720209588
- Provider Enumeration Date: 05/01/2007
- Last Update Date: 03/12/2013
Medical Identifiers
Medical identifiers for Dr Rene Charles Duffourc Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720209588 | NPI | - | NPPES |
| 185967001 | Medicaid | AR | |
| 431560263 | Other | AR | TRICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | E-6696 (Arkansas) | Primary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | E-6696 (Arkansas) | Secondary |
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. Dr Rene Charles Duffourc Iii 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 |
|---|
Dr Rene Charles Duffourc Iii, MD
Po Box 2580,
Springfield, MO 65801-2580
Ph: (417) 829-4620 | Dr Rene Charles Duffourc Iii, MD
1 Park Dr, Suite C,
Holiday Island, AR 72631-9216
Ph: (479) 363-9174 |
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