Dr Rosier Davis Dedwylder, MD | |
16463 Dahlgren Rd, King George, VA 22485-5810 | |
(540) 644-9505 | |
(540) 644-9508 |
Full Name | Dr Rosier Davis Dedwylder |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 16463 Dahlgren Rd, King George, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871567073 | NPI | - | NPPES |
1871567073 | Other | VA | CIGNA |
1871567073 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101035907 (Virginia) | Primary |
Entity Name | Mary Washington Healthcare Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295999852 PECOS PAC ID: 2769546530 Enrollment ID: O20090123000298 |
Mailing Address | Practice Location Address |
---|---|
Dr Rosier Davis Dedwylder, MD Po Box 1460, Fredericksburg, VA 22402-1460 Ph: (540) 786-2100 | Dr Rosier Davis Dedwylder, MD 16463 Dahlgren Rd, King George, VA 22485-5810 Ph: (540) 644-9505 |
Roosevelt Dean Jr., DO Family Medicine Medicare: Medicare Enrolled Practice Location: 11131 Journal Parkway, King George, VA 22485 Phone: 540-625-2527 Fax: 540-709-7211 | |
Dr. Michael Joseph Costa, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 11131 Journal Parkway, King George, VA 22485 Phone: 540-785-7810 Fax: 540-786-3099 |