| Brightwell Health Llc | |
|
300 Hospital Dr Ste 223 Glen Burnie MD 21061-5707 | |
| (443) 221-2222 | |
| Not Available |
| Full Name | Brightwell Health Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 300 Hospital Dr Ste 223, Glen Burnie, Maryland |
| Authorized Official Name and Position | Drew Fuller (OWNER) |
| Authorized Official Contact | 4436224317 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightwell Health Llc 7310 Ritchie Hwy Ste 516 Glen Burnie MD 21061-3099 Ph: (844) 387-7469 | Brightwell Health Llc 300 Hospital Dr Ste 223 Glen Burnie MD 21061-5707 Ph: (443) 221-2222 |
| NPI Number | 1215515408 |
|---|---|
| Provider Enumeration Date | 03/30/2021 |
| Last Update Date | 09/16/2026 |
| Medicare PECOS PAC ID | 8224437397 |
|---|---|
| Medicare Enrollment ID | O20210521000216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215515408 | NPI | - | NPPES |
| Provider Name | Barry L Myers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215976402 PECOS PAC ID: 1153423348 Enrollment ID: I20070219000205 |
| Provider Name | Drew Fuller |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1801808209 PECOS PAC ID: 9234047309 Enrollment ID: I20090701000526 |
| Provider Name | Amelia Norrise Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588094304 PECOS PAC ID: 7810213113 Enrollment ID: I20150304001020 |
| Provider Name | Shannon Tieman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326436254 PECOS PAC ID: 0547587776 Enrollment ID: I20150326001349 |
| Provider Name | Sofia A Arnold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639516933 PECOS PAC ID: 6406081140 Enrollment ID: I20160628002369 |
| Provider Name | Chad W Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295084713 PECOS PAC ID: 2365734738 Enrollment ID: I20160705000995 |
| Provider Name | Nicole Knox |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932581717 PECOS PAC ID: 0941791008 Enrollment ID: I20251117002101 |
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