Dr Gary A Derosa, MD is a
Family Medicine physician based in Ft. Belvoir, Virginia. Dr Gary A Derosa is licensed to practice in Virginia (license number 0101032730) and his current practice location is A. T. Augusta Military Medical Center, 9300 Dewitt Loop, Ft. Belvoir, Virginia. He can be reached at his office (for appointments etc.) via phone at
(571) 231-4012.
NPI number for Dr Gary A Derosa is 1770583205 and his current mailing address is 12735 Gold Cup Trl, Manassas, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770583205.
Physician's Profile
| Full Name | Dr Gary A Derosa |
|---|
| Gender | Male |
|---|
| Speciality | Family Medicine |
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| Location | A. T. Augusta Military Medical Center, Ft. Belvoir, Virginia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770583205
- Provider Enumeration Date: 07/27/2005
- Last Update Date: 08/27/2024
Medical Identifiers
Medical identifiers for Dr Gary A Derosa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1770583205 | NPI | - | NPPES |
| 5617537 | Medicaid | VA | |
| 1770583205 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 0101032730 (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. Dr Gary A Derosa 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 Gary A Derosa, MD 12735 Gold Cup Trl, Manassas, VA 20112-3684 Ph: (703) 599-1274 | Dr Gary A Derosa, MD A. T. Augusta Military Medical Center, 9300 Dewitt Loop, Ft. Belvoir, VA 22060 Ph: (571) 231-4012 |
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