MEDICARE: DANE MAXFIELD D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	OS3688	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	10311	OTHER	FL	FLORIDA WELLCARE (MEDICARE PLAN)
5	388452	OTHER	FL	UNITED HEALTHCARE COMMERCIAL AND MEDICARE PLANS
11	82099	OTHER	FL	BCBS BLUE CARE, ADVANTAGE 65 SELECT, MEDICARE PPO/HMO, GO BLUE
12	100005888	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	591273247	OTHER		UHC EMPIRE PLAN
3	212910	OTHER	FL	AVMED
4	3131464	OTHER	FL	CIGNA PPO/HMO, OPEN ACCESS, AND GREATWEST
6	82099	OTHER	FL	BLUE OPTIONS, BLUE CHOICE, FEDERAL, FLORIDA STATE AND TRADITIONAL BCBS
7	710665	OTHER		MAIL HANDLERS BENEFIT PLAN (MHBP)
8	10311	OTHER	FL	FLORIDA HEALTHEASE
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	82099	OTHER	FL	OUT OF STATE BLUE CROSS BLUE SHIELD
13	10311	OTHER	FL	FLORIDA STAYWELL
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992794986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANE MAXFIELD D.O.

Provider Business Mailing Address
First Line	:	2995 DREW ST FL 2
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33759-3012
Country	:	US
Telephone Number	:	727-532-0002
Fax Number	:

Provider Business Practice Location Address
First Line	:	13644 WALSINGHAM RD
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33774-3532
Country	:	US
Telephone Number	:	727-595-2519
Fax Number	:	727-631-0916

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2005
Last Update Date	:	03/03/2026

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Directions to “ DANE MAXFIELD D.O.” Practice Location

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