Danice Blaise, MD,MBA
NPI 1255829966ActiveIndividual· General Practice· Lake Wales, FL
General Practice (MD,MBA) in Lake Wales, Florida, licensed in FL, NH, MO and IN, with an NPI issued in April 2018. Their prescriptions cost Medicare Part D more than their services did: $571,157 for 7,643 claims, against $4,023 paid for services in 2024.
Overview
| NPI | 1255829966 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD,MBA |
| Sole proprietor | Yes |
| NPI issued | Apr 27, 2018 |
| Last updated in NPPES | Dec 7, 2024 |
| Certified by provider | Dec 7, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | ACN1418 | FL |
| Internal Medicine | 207R00000X | 25173 | NH |
| Physician Assistant | 363A00000X | 2019045102 | MO |
| Physician Assistant | 363A00000X | CV2000213 | IN |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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) | Enrolled Practitioner - General Practice (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 18 |
|---|---|
| Services billed | 94 across 14 procedure codes |
| Paid by Medicare | $4,023 |
Part D prescriptions in 2024
| Prescriptions (claims) | 7,643 · 16,028 30-day fills |
|---|---|
| Patients | 620 |
| Total drug cost | $571,157 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | General Practice |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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