| Mr Daniel Ray Prentice, PA | |
|
201 Forest Park Cir, Panama City, FL 32405-4916 | |
| (850) 248-7777 | |
| (850) 248-7779 |
| Full Name | Mr Daniel Ray Prentice |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 201 Forest Park Cir, Panama City, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013298363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9106119 (Florida) | Primary |
| Entity Name | Atwood and Clark Associates, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285038117 PECOS PAC ID: 1557683521 Enrollment ID: O20141202000503 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Daniel Ray Prentice, PA 7301 West Blvd Ste A1, Boardman, OH 44512-5268 Ph: (330) 758-2775 | Mr Daniel Ray Prentice, PA 201 Forest Park Cir, Panama City, FL 32405-4916 Ph: (850) 248-7777 |
Laurie K Boehm, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2428 Jenks Ave, Panama City, FL 32405 Phone: 850-215-6008 Fax: 850-215-6020 |
Mrs. Ashley Beth Devries, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 114 Airport Rd Ste B, Panama City, FL 32405 Phone: 850-785-0788 Fax: 850-785-1066 |
Morgan Birkel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1931 Martin Luther King Jr Blvd, Panama City, FL 32405 Phone: 850-740-5010 Fax: 850-804-1705 |
Erin Elizabeth Simonds, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 621 W Baldwin Rd, Suite A, Panama City, FL 32405 Phone: 850-747-3661 |
Jenna R Hurley, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 80 Doctors Dr, Panama City, FL 32405 Phone: 850-785-8557 |
Olivia Taylor Perdue, PA-S Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3220 Heartleaf Ave E, Panama City, FL 32405 Phone: 850-381-6997 |
Kelsey Greer, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 621 W Baldwin Rd, Panama City, FL 32405 Phone: 850-747-3661 |