Tony Roosevelt King, MD is a
Family Medicine physician based in Disputanta, Virginia. Tony Roosevelt King is licensed to practice in Virginia (license number 48987) and his current practice location is 13428 Queen St, Disputanta, Virginia. He can be reached at his office (for appointments etc.) via phone at
(804) 991-9101.
NPI number for Tony Roosevelt King is 1851518831 and his current mailing address is 13428 Queen St, Disputanta, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851518831.
Physician's Profile
| Full Name | Tony Roosevelt King |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 13428 Queen St, Disputanta, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1851518831
- Provider Enumeration Date: 04/19/2007
- Last Update Date: 07/08/2007
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
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 |
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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