Golden Age Physician Specialists LLC
NPI 1104520717ActiveOrganization· Internal Medicine· Crystal River, FL
Internal Medicine in Crystal River, Florida, registered in NPPES in March 2023. The authorized official on file is Dacelin St. Martin, MD, Provider.
Overview
| NPI | 1104520717 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 28, 2023 |
| Last updated in NPPES | May 18, 2023 |
| Certified by provider | May 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 25 internal medicine physicians in Crystal River · All internal medicine physicians in Florida