| Dr Mark J Ptacek, MD | |
|
71 Charles St, Deadwood, SD 57732-1303 | |
| (605) 717-6431 | |
| Not Available |
| Full Name | Dr Mark J Ptacek |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 42 Years |
| Location | 71 Charles St, Deadwood, South Dakota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083611958 | NPI | - | NPPES |
| 460423930 | Other | NE | HUMANA |
| 46042393011 | Medicaid | NE | |
| 9214155 | Other | NE | DAKOTA CARE |
| 3859 | Other | NE | MIDLANDS CHOICE |
| 7988021 | Other | NE | AETNA |
| 0123937 | Other | NE | MEDICA |
| 06676 | Other | NE | NEBRASKA BCBS |
| 460423930 | Other | NE | TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 16764 (Nebraska) | Secondary |
| 207Q00000X | Family Medicine | 4872 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Brookings Health System | Brookings, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| City Of Brookings | 1052307105 | 95 |
| Travis J Ptacek Md Pllc | 1658725692 | 11 |
| Monument Health Network Inc | 5991616427 | 153 |
| Entity Name | Avera Mckennan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699009944 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
| Entity Name | Monument Health Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588185268 PECOS PAC ID: 5991616427 Enrollment ID: O20031111000854 |
| Entity Name | City Of Brookings |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932281029 PECOS PAC ID: 1052307105 Enrollment ID: O20040423000002 |
| Entity Name | City Of Redfield |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548232747 PECOS PAC ID: 5698757631 Enrollment ID: O20040603000919 |
| Entity Name | Travis J Ptacek Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265113260 PECOS PAC ID: 1658725692 Enrollment ID: O20230926001029 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark J Ptacek, MD 353 Fairmont Blvd, Attn Mss, Rapid City, SD 57701-7375 Ph: (605) 755-8107 | Dr Mark J Ptacek, MD 71 Charles St, Deadwood, SD 57732-1303 Ph: (605) 717-6431 |
Dr. John Kenneth Tronnes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 71 Charles St, Deadwood, SD 57732 Phone: 605-717-6431 | |
Thomas J Groeger, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 71 Charles St, Deadwood, SD 57732 Phone: 605-717-6431 Fax: 605-719-6471 |