| Brightview | |
|
402 Marvel Ct Easton MD 21601-4052 | |
| (443) 783-5119 | |
| Not Available |
| Full Name | Brightview |
|---|---|
| Speciality | Clinic/Center |
| Location | 402 Marvel Ct, Easton, Maryland |
| Authorized Official Name and Position | Amy Marie Nieman (DIR OF PAYER RELATIONS/CREDENTIALIN) |
| Authorized Official Contact | 5135441003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightview 4600 Mongomery Rd Cincinnati OH 45212-2697 Ph: () - | Brightview 402 Marvel Ct Easton MD 21601-4052 Ph: (443) 783-5119 |
| NPI Number | 1346650173 |
|---|---|
| Provider Enumeration Date | 05/01/2014 |
| Last Update Date | 04/03/2023 |
| Certification Date | 04/03/2023 |
| Medicare PECOS PAC ID | 7911377676 |
|---|---|
| Medicare Enrollment ID | O20221221002893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346650173 | NPI | - | NPPES |
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