Pedim Outreach And Specialty Clinic Llc
Internal Medicine
1982 N Prospect Ave, Lecanto
Florida, 34461
352-563-0931 Pedim Outreach And Specialty Clinic Llc is a Internal Medicine in Lecanto, Florida. It is located at 1982 N Prospect Ave, Lecanto and it's customer support contact number is 352-563-0931. The authorized person of Pedim Outreach And Specialty Clinic Llc is Dacelin St Martin, M.D. who is Medical Director of this DME and his contact number is 352-563-0931. Pedim Outreach And Specialty Clinic Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Pedim Outreach And Specialty Clinic Llc is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
DME Supplier Details:
Pedim Outreach And Specialty Clinic Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Pedim Outreach And Specialty Clinic Llc |
| Type: | Internal Medicine |
| Location: | 1982 N Prospect Ave, Lecanto,
Florida, 34461 |
| Phone: | 352-563-0931 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dacelin St Martin |
| Credentials: | M.D. |
| Position: | Medical Director |
| Contact Number: | 352-563-0931 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1851848097 |
| NPI Enumeration Date: | 06 Sep, 2016 |
| NPI Last Update On: | 13 Feb, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pedim Outreach And Specialty Clinic Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Internal Medicine | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Sleep Medicine | | | Secondary | |
| Sleep Medicine | | | Secondary | |
| Physical Therapy | | | Secondary | |
| Sleep Disorder Diagnostic | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 103596200 | Medicaid | Florida | |
Medicare Enrollment:
Pedim Outreach And Specialty Clinic Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 7315227782 | O20161201001585 | Pedim Outreach And Specialty Clinic Llc | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 2066,
Lecanto, Florida |
| Zip: | 34460-2066 |
| Phone Number: | 352-563-0931 |
| Fax Number: | 352-563-0935 |
Patients can reach Pedim Outreach And Specialty Clinic Llc at
1982 N Prospect Ave, Lecanto, Florida or can
call on customer care at 352-563-0931.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.