Dr Danice Blaise, MD,MBA - Medicare General Practice in Lake Wales, FL

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Dr Danice Blaise, MD,MBA is a medicare enrolled "General Practice" physician in Lake Wales, Florida. He graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as General Practice. His current practice location is 684 State Road 60 W, Lake Wales, Florida. You can reach out to his office (for appointments etc.) via phone at (863) 949-4868.

Dr Danice Blaise is licensed to practice in Florida (license number ACN1418) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255829966.

Contact Information

Dr Danice Blaise, MD,MBA
684 State Road 60 W,
Lake Wales, FL 33853-4419
(863) 949-4868
(863) 223-8549

Map and Direction




Physician's Profile

Full NameDr Danice Blaise
GenderMale
SpecialityGeneral Practice
Experience9 Years
Location684 State Road 60 W, Lake Wales, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Danice Blaise graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1255829966
  • Provider Enumeration Date: 04/27/2018
  • Last Update Date: 12/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1355738899
  • Enrollment ID: I20220502000035

Medical Identifiers

Medical identifiers for Dr Danice Blaise such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255829966NPI-NPPES
115752400MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice ACN1418 (Florida)Primary
207R00000XInternal Medicine 25173 (New Hampshire)Secondary
363A00000XPhysician Assistant 2019045102 (Missouri)Secondary
363A00000XPhysician Assistant CV2000213 (Indiana)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Danice Blaise allows following entities to bill medicare on his behalf.
Entity NameThe Center For Functional Aesthetic And Anti Aging Medicine Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508682089
PECOS PAC ID: 5496277212
Enrollment ID: O20250320002306

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Danice Blaise is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Danice Blaise, MD,MBA
6675 Westwood Blvd Ste 475,
Orlando, FL 32821-6027

Ph: (407) 845-0330		Dr Danice Blaise, MD,MBA
684 State Road 60 W,
Lake Wales, FL 33853-4419

Ph: (863) 949-4868

Reviews and Comments


General Practice Doctors in Lake Wales, FL

Yairaliz Rodriguez Gonzalez,
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 684 State Road 60 W, Lake Wales, FL 33853
Phone: 863-949-4868    
Jean Fritzner Balan, M.D.
General Practice
Medicare: Medicare Enrolled
Practice Location: 305 W Central Ave, Lake Wales, FL 33853
Phone: 866-234-8534    
Dr. Catherine Roberts Duncan, DVM
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 953 Old Cutler Rd, Lake Wales, FL 33898
Phone: 904-655-5794    
Dr. Nydia Gricelle Deltoro Rivera, MD, WCC. DWC, CWS
General Practice
Medicare: Medicare Enrolled
Practice Location: 1120 Carlton Ave, Lake Wales, FL 33853
Phone: 863-270-4546    
Stacy Jane Slaght, APRN
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 1255 State Road 60 E Ste 600, Lake Wales, FL 33853
Phone: 863-676-7190    Fax: 863-232-1704

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.