Gregory Mark Loftis, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Memphis, Tennessee. His current practice location is
920 Madison Avenue Suite 447, Memphis, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 778-4691.
Gregory Mark Loftis is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1558633826.
Healthcare Provider's Profile
Full Name | Gregory Mark Loftis |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 920 Madison Avenue Suite 447, Memphis, Tennessee |
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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: 1558633826
- Provider Enumeration Date: 02/02/2012
- Last Update Date: 04/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880838457
- Enrollment ID: I20240509000519
Medical Identifiers
Medical identifiers for Gregory Mark Loftis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558633826 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 3864 (South Carolina) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Gregory Mark 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 |
Gregory Mark Loftis, MD University Of Tennessee 920 Madison Avenue, Memphis, TN 38163-0001 Ph: (901) 448-1010 | Gregory Mark Loftis, MD 920 Madison Avenue Suite 447, Memphis, TN 38163-4240 Ph: (423) 778-4691 |
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