MARIANNE L MCCAIN PH D P A
NPI 1467626614
Psychologist - Clinical in Fort Walton Beach, FL
About Marianne L Mccain Ph D P A NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIANNE L MCCAIN PH D P A (NPI 1467626614) is a healthcare organization registered as a clinical in Fort Walton Beach, Florida and active in the NPI registry since April 2008. The organization lists Marianne Lisa Mccain, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marianne L Mccain Ph D P A is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Marianne L Mccain Ph D P A, which bills Medicare for the services this clinician delivers.
Clinician (1)
Ft Walton Beach, FL 32548
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Marianne L Mccain Ph D P A's NPI number?
The NPI number for Marianne L Mccain Ph D P A is 1467626614. It was assigned to this organization in the NPPES registry on April 18, 2008.
Where is Marianne L Mccain Ph D P A located?
Marianne L Mccain Ph D P A is located at 118 Truxton Ave, Fort Walton Beach, FL 32547. The listed phone number is (850) 664-7690.
What is Marianne L Mccain Ph D P A's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Marianne L Mccain Ph D P A enrolled in Medicare?
Yes. Marianne L Mccain Ph D P A is registered in the Medicare PECOS enrollment system.
When is Marianne L Mccain Ph D P A's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Marianne L Mccain Ph D P A?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Marianne L Mccain Ph D P A. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Marianne L Mccain Ph D P A was last updated on April 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Marianne L Mccain Ph D P A · NPI 1467626614
Clinical organization in Fort Walton Beach, Florida. Organization record, active in the CMS NPPES registry since April 18, 2008.
## Identity
- **NPI:** 1467626614 (Entity type: Organization)
- **Enumerated:** April 18, 2008
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Marianne Mccain, PRESIDENT
## Practice location
- **Address:** 118 TRUXTON AVE, Fort Walton Beach, FL 32547-2461
- **Phone:** (850) 664-7690 · **Fax:** (850) 664-7691
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 18, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1467626614) · Data from the CMS NPPES public registry.