| Brandy M Roane, PHD | |
|
855 Montgomery St, Fort Worth, TX 76107-2553 | |
| (817) 735-2660 | |
| Not Available |
| Full Name | Brandy M Roane |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 855 Montgomery St, Fort Worth, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881941664 | NPI | - | NPPES |
| 88610A | Other | TX | BCBS |
| 308469101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 36377 (Texas) | Primary |
| Entity Name | Brightside Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230403000549 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandy M Roane, PHD Po Box 99335, Fort Worth, TX 76199-0335 Ph: (817) 735-2660 | Brandy M Roane, PHD 855 Montgomery St, Fort Worth, TX 76107-2553 Ph: (817) 735-2660 |
Dr. Cortney B Wolfe-christensen, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 750 8th Ave Fl 6, Fort Worth, TX 76104 Phone: 682-303-0376 Fax: 682-303-0377 | |
Helen B Ferguson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3840 Hulen St, Htn, Client Accounting, Fort Worth, TX 76107 Phone: 817-569-4395 Fax: 817-569-4517 | |
Dr. Woody Cal Childress, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5658 Westcreek Dr Ste 400, Fort Worth, TX 76133 Phone: 817-731-2468 | |
Saul Rodriguez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4545 Bellaire Dr S Ste 6, Fort Worth, TX 76109 Phone: 817-657-1115 | |
Khalid Rashdan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3200 Saint Juliet St, 2212, Fort Worth, TX 76107 Phone: 817-583-2485 | |
Dr. Jessica Lindsay Atkins, LSSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1200 Circle Dr Ste 400b, Fort Worth, TX 76119 Phone: 817-569-4750 | |
Dr. Nichelle E. Wiggins, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 3804 E Lancaster Ave, Fort Worth, TX 76103 Phone: 817-744-8355 Fax: 817-744-8356 |