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DR. DANICE BLAISE MD,MBA
NPI 1255829966
General Practice in Lake Wales, FL

Active since April 27, 2018PECOS EnrolledAccepts Medicare Assignment
684 STATE ROAD 60 W, LAKE WALES, FL 33853(863) 949-4868(863) 223-8549 Get Directions Write a Review

NPPES record last updated: December 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 7, 2024, Oct 27, 2022, Sep 23, 2020 and 2 more (5 updates tracked since 2018).

About Dr. Danice Blaise Md,mba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DANICE BLAISE MD,MBA (NPI 1255829966) is an individual general practice provider in Lake Wales, Florida, licensed in Florida (ACN1418) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Winter Haven, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1255829966
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. DANICE BLAISECredential: MD,MBA
Location Address684 STATE ROAD 60 WLake Wales, FL 33853-4419
Mailing Address6675 Westwood Blvd Ste 475Orlando, FL 32821-6027 · (407) 845-0330 · Fax (888) 972-1752
Phone(863) 949-4868
Fax(863) 223-8549
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateApril 27, 2018
Last NPPES UpdateDecember 7, 20245 updates tracked since enumeration
NPPES CertifiedDecember 7, 2024
✔ NPI 1255829966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ACN1418
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedInternal MedicineTaxonomy 207R00000X · License 25173 (NH)
Also ListedPhysician AssistantTaxonomy 363A00000X · License 2019045102 (MO), CV2000213 (IN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
684 STATE ROAD 60 W, Lake Wales, FL 33853
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Secondary Practice Location 1

Location 1571 Avenue K SEWinter Haven, FL 33880-4215 · Phone (407) 440-0708 · Fax (407) 357-0347

Other Identifiers 1

Medicaid115752400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Danice Blaise Md,mba is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355738899
PECOS Enrollment IDI20220502000035
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services11 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATASHA L FENELON APRN
Nurse Practitioner (Family)
684 STATE ROAD 60 W
LAKE WALES, FL 33853
Polk County (863) 949-4868
YAIRALIZ RODRIGUEZ GONZALEZ
General Practice
684 STATE ROAD 60 W
LAKE WALES, FL 33853
Polk County (863) 949-4868
MEDICAL HOME ALLIANCE LLC
Internal Medicine
684 STATE ROAD 60 W
LAKE WALES, FL 33853
Polk County (863) 949-4868

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 Danice Blaise's NPI number?

The NPI number for Danice Blaise is 1255829966. It was assigned to this individual provider in the NPPES registry on April 27, 2018.

Where is Danice Blaise located?

Danice Blaise practices at 684 State Road 60 W, Lake Wales, FL 33853. The listed phone number is (863) 949-4868.

What is Danice Blaise's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Danice Blaise enrolled in Medicare?

Yes. Danice Blaise is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Danice Blaise accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Danice Blaise as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Danice Blaise was last updated on December 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.