Dr Reagan Michelle Street, MD | |
1001 12th Ave, Suite 200, Fort Worth, TX 76104-3926 | |
(817) 850-2000 | |
(817) 850-2015 |
Full Name | Dr Reagan Michelle Street |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 19 Years |
Location | 1001 12th Ave, Fort Worth, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487845673 | NPI | - | NPPES |
204651802 | Medicaid | TX | |
2766284705 | Other | MYUTMB 2766284705 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | N-3333 (Texas) | Secondary |
207VX0201X | Obstetrics & Gynecology - Gynecologic Oncology | N3333 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Texas Health Harris Methodist Hurst-euless-bedford | Bedford, TX | Hospital |
Baylor Scott & White Medical Center Grapevine | Grapevine, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Texas Oncology Pa | 5395658934 | 886 |
Entity Name | Utmb Faculty Group Practice |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
Entity Name | Texas Oncology Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811944101 PECOS PAC ID: 5395658934 Enrollment ID: O20031124000323 |
Mailing Address | Practice Location Address |
---|---|
Dr Reagan Michelle Street, MD Po Box 911230, Dallas, TX 75391-1230 Ph: (972) 997-8000 | Dr Reagan Michelle Street, MD 1001 12th Ave, Suite 200, Fort Worth, TX 76104-3926 Ph: (817) 850-2000 |
Dr. Robert Arthur Burke, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 7100 Oakmont Blvd, Suite 104, Fort Worth, TX 76132 Phone: 817-423-0600 | |
Dr. Cynthia Lynn Hartman, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 10840 Texas Health Trl Ste 110, Fort Worth, TX 76244 Phone: 682-212-6437 Fax: 682-212-9438 | |
Dr. Benjamin Aude Mcwilliams, M. D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6659 Gascony Pl, Fort Worth, TX 76132 Phone: 817-423-9653 | |
Lydia A Luna, M.D., P. A. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1307 8th Ave, #602, Fort Worth, TX 76104 Phone: 817-877-1848 Fax: 817-877-3716 | |
Jeffrey M Hantes, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1327 Hemphill St., Suite 100, Fort Worth, TX 76104 Phone: 817-731-3936 Fax: 817-782-0206 | |
Dr. Shashi P Rastogi, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1001. 12th Ave., 174, Fort Worth, TX 76104 Phone: 817-348-0701 Fax: 817-348-0702 | |
Courtney Walters, M.D, Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 3025 N Tarrant Pkwy Ste 150, Fort Worth, TX 76177 Phone: 817-416-2229 Fax: 817-416-3667 |