| 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: Accepting Medicare Assignments 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 |