Tony Roosevelt King, MD is a medicare enrolled "Family Medicine" physician in Disputanta, Virginia. His current practice location is
13428 Queen St, Disputanta, Virginia. You can reach out to his office (for appointments etc.) via phone at
(804) 991-9101.
Tony Roosevelt King is licensed to practice in Virginia (license number 48987) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1851518831.
Physician's Profile
Full Name | Tony Roosevelt King |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 13428 Queen St, Disputanta, Virginia |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Tony Roosevelt King attended and graduated from in
NPI Data:
- NPI Number: 1851518831
- Provider Enumeration Date: 04/19/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Tony Roosevelt King such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851518831 | NPI | - | NPPES |
56-1868-1 | Medicaid | VA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 48987 (Virginia) | 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. Tony Roosevelt King is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tony Roosevelt King, MD 13428 Queen St, Disputanta, VA 23842-6235 Ph: (804) 991-9101 | Tony Roosevelt King, MD 13428 Queen St, Disputanta, VA 23842-6235 Ph: (804) 991-9101 |
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