| Brightview Health | |
|
402 Marvel Ct Easton MD 21601-4052 | |
| (833) 510-4357 | |
| Not Available |
| Full Name | Brightview Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 402 Marvel Ct, Easton, Maryland |
| Authorized Official Name and Position | Amy Marie Nieman (DIRECTOR) |
| Authorized Official Contact | 5135441003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightview Health 4600 Montgomery Rd Ste 400 Cincinnati OH 45212-2600 Ph: (833) 510-4357 | Brightview Health 402 Marvel Ct Easton MD 21601-4052 Ph: (833) 510-4357 |
| NPI Number | 1871287888 |
|---|---|
| Provider Enumeration Date | 06/05/2023 |
| Last Update Date | 09/25/2024 |
| Medicare PECOS PAC ID | 7911377676 |
|---|---|
| Medicare Enrollment ID | O20231023003453 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871287888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
| Provider Name | Sughanda Khanna |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326018060 PECOS PAC ID: 7315926532 Enrollment ID: I20040720000253 |
| Provider Name | Jeannette C Quigley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386817492 PECOS PAC ID: 1759430564 Enrollment ID: I20090528000208 |
| Provider Name | Irish Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366909442 PECOS PAC ID: 3476987645 Enrollment ID: I20191220001189 |
| Provider Name | Heidi Anne Mcneeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932976370 PECOS PAC ID: 4082064266 Enrollment ID: I20231229002738 |
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