| Pedim Healthcare | |
|
1990 N Prospect Ave Lecanto FL 34461-9792 | |
| (352) 527-6888 | |
| (352) 527-8818 |
| Full Name | Pedim Healthcare |
|---|---|
| Speciality | Family Medicine |
| Location | 1990 N Prospect Ave, Lecanto, Florida |
| Authorized Official Name and Position | Dacelin St. Martin (MEDICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 3525276888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pedim Healthcare Po Box 2066 Lecanto FL 34460-2066 Ph: (352) 527-6888 | Pedim Healthcare 1990 N Prospect Ave Lecanto FL 34461-9792 Ph: (352) 527-6888 |
| NPI Number | 1396805115 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 04/24/2023 |
| Medicare PECOS PAC ID | 4486672391 |
|---|---|
| Medicare Enrollment ID | O20051109000787 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396805115 | NPI | - | NPPES |
| Provider Name | Dacelin St Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457392136 PECOS PAC ID: 5395715239 Enrollment ID: I20040728001357 |
| Provider Name | Youssef K Khodor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437155017 PECOS PAC ID: 6002817947 Enrollment ID: I20070120000057 |
| Provider Name | Brenda Hayden-brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801062583 PECOS PAC ID: 9931271707 Enrollment ID: I20080710000668 |
| Provider Name | Lawrence Rothenberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104809367 PECOS PAC ID: 2961452552 Enrollment ID: I20110513000645 |
| Provider Name | Donna Jean Scarbrough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245521467 PECOS PAC ID: 1052579190 Enrollment ID: I20120221000862 |
| Provider Name | Ellen Heubach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134570369 PECOS PAC ID: 0547558520 Enrollment ID: I20161006000648 |
| Provider Name | Allison Lavon Ledsome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346744729 PECOS PAC ID: 6406111533 Enrollment ID: I20180521001212 |
| Provider Name | Francisco J Carreras-miranda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659628089 PECOS PAC ID: 2163739780 Enrollment ID: I20190819003839 |
| Provider Name | Ann Marie O'shall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174156855 PECOS PAC ID: 6800212366 Enrollment ID: I20200813002901 |
| Provider Name | Annalisia Giddens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902479678 PECOS PAC ID: 3274939608 Enrollment ID: I20210909001842 |
| Provider Name | Jessica M Hoag |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235828153 PECOS PAC ID: 3577922046 Enrollment ID: I20230630000541 |
| Provider Name | Shannon Megan Dave |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780176859 PECOS PAC ID: 2769722701 Enrollment ID: I20230713003816 |
| Provider Name | Candice Zenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689354730 PECOS PAC ID: 5991159998 Enrollment ID: I20230925002988 |
| Provider Name | Samantha K Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942920343 PECOS PAC ID: 4284090424 Enrollment ID: I20240110000013 |
| Provider Name | Meagan A Puchala Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932961018 PECOS PAC ID: 5698119154 Enrollment ID: I20240223000567 |
| Provider Name | Dennay Burgess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669038089 PECOS PAC ID: 0840521985 Enrollment ID: I20240409004645 |
| Provider Name | Myriam B Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053379271 PECOS PAC ID: 3678474723 Enrollment ID: I20240501002261 |
Dr Eilis Clark Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 S Salisbury Ter, Lecanto, FL 34461 Phone: 352-631-7460 | |
Sun Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2063 N Lecanto Hwy, Lecanto, FL 34461 Phone: 352-436-4428 Fax: 352-228-4903 | |
Nature Coast Mind Body Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 S Salisbury Ter, Lecanto, FL 34461 Phone: 352-631-7460 | |
Pediatric And Internal Medicine Specialists, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1990 N Prospect Ave, Lecanto, FL 34461 Phone: 352-527-6888 Fax: 352-527-8818 | |
Padala Family Practice, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2063 N Lecanto Hwy Ste 1, Lecanto, FL 34461 Phone: 352-436-4428 Fax: 352-228-4903 | |
Citrus County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 W Sovereign Path, Lecanto, FL 34461 Phone: 352-527-0068 Fax: 352-527-8858 |