Mrs Ashley Laniece Loftis, PA-C is a medicare enrolled "Physician Assistant - Medical" in Clarendon, Arkansas. Her current practice location is
245 Madison St, Clarendon, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 747-3008.
Mrs Ashley Laniece Loftis is licensed to practice in Arkansas (license number PA-631) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164897823.
Provider's Profile
Full Name | Mrs Ashley Laniece Loftis |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 245 Madison St, Clarendon, Arkansas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164897823
- Provider Enumeration Date: 12/07/2015
- Last Update Date: 12/15/2015
Medicare PECOS Information:
- PECOS PAC ID: 9931408580
- Enrollment ID: I20160503000943
Medical Identifiers
Medical identifiers for Mrs Ashley Laniece Loftis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164897823 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | PA-631 (Arkansas) | Primary |
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. Mrs Ashley Laniece Loftis 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 Address | Practice Location Address |
Mrs Ashley Laniece Loftis, PA-C 245 Madison St, Clarendon, AR 72029-2706 Ph: (870) 747-3085 | Mrs Ashley Laniece Loftis, PA-C 245 Madison St, Clarendon, AR 72029-2706 Ph: (870) 747-3008 |
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