MR. DANIEL RAY PRENTICE (PA) – Physician Assistant, NPI 1013298363
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. DANIEL RAY PRENTICE (PA)
3334 CAPITAL MEDICAL BLVD STE 400
TALLAHASSEE, FL 323084470
Phone: (850) 877-8174
Fax: (844) 261-6839
Type: Mailing
3051 6TH ST
MARIANNA, FL 324461933
Phone: (850) 526-3236
Fax: (844) 261-6839
Type: Location
7301 WEST BLVD STE A1
BOARDMAN, OH 445125268
Phone: (330) 758-2775
Fax: (330) 758-2787
Type: Mailing
11038 Hutchison Blvd
Panama City, FL 324073714
Phone: (850) 588-5778
Fax: (850) 588-5718
Type: Location
201 FOREST PARK CIR
PANAMA CITY, FL 324054916
Phone: (850) 248-7777
Fax: (850) 248-7779
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $26.
Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Boston Scientific Corporation ($26).
Total Amount
$26
General + Research + Ownership
Payments
2
Total payment records
General Amount
$26
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $26 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-02-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040209000690 | I | Physician Assistant | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32308)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | NY | |
| Orthopedic Surgery | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Physician Assistant | FL | |
| Occupational Therapist In Private Practice | FL | |
| Orthopedic Surgery | FL | |
| Nurse Practitioner | FL | |
| Physical Therapist In Private Practice | FL | |
| Orthopedic Surgery | FL |
Reviews
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