Dr Mark J Ptacek, MD - Medicare Family Practice in Deadwood, SD

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Dr Mark J Ptacek, MD is a medicare enrolled "Family Medicine" physician in Deadwood, South Dakota. He went to University Of Nebraska College Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Monument Health Network Inc and his current practice location is 71 Charles St, Deadwood, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 717-6431.

Dr Mark J Ptacek is licensed to practice in South Dakota (license number 4872) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083611958.

Contact Information

Dr Mark J Ptacek, MD
71 Charles St,
Deadwood, SD 57732-1303
(605) 717-6431
Not Available

Map and Direction




Physician's Profile

Full NameDr Mark J Ptacek
GenderMale
SpecialityFamily Practice
Experience40 Years
Location71 Charles St, Deadwood, South Dakota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mark J Ptacek attended and graduated from University Of Nebraska College Of Medicine in 1984
  NPI Data:
  • NPI Number: 1083611958
  • Provider Enumeration Date: 07/07/2005
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5395654545
  • Enrollment ID: I20080319000544

Medical Identifiers

Medical identifiers for Dr Mark J Ptacek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083611958NPI-NPPES
460423930OtherNEHUMANA
46042393011MedicaidNE
9214155OtherNEDAKOTA CARE
3859OtherNEMIDLANDS CHOICE
7988021OtherNEAETNA
0123937OtherNEMEDICA
06676OtherNENEBRASKA BCBS
460423930OtherNETRICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 16764 (Nebraska)Secondary
207Q00000XFamily Medicine 4872 (South Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Monument Health Custer HospitalCuster, SDHospital
Monument Health Lead-deadwood HospitalDeadwood, SDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Monument Health Network Inc5991616427143

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mark J Ptacek allows following entities to bill medicare on his behalf.
Entity NameAvera Mckennan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003389206
PECOS PAC ID: 0345157103
Enrollment ID: O20031110000117
Entity NameMonument Health Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588185268
PECOS PAC ID: 5991616427
Enrollment ID: O20031111000854
Entity NameCity Of Brookings
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932281029
PECOS PAC ID: 1052307105
Enrollment ID: O20040423000002
Entity NameCity Of Redfield
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548232747
PECOS PAC ID: 5698757631
Enrollment ID: O20040603000919

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. Dr Mark J Ptacek 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 AddressPractice 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

Reviews and Comments


Family Medicine Doctors in Deadwood, SD

Dr. John Kenneth Tronnes, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 71 Charles St, Deadwood, SD 57732
Phone: 605-717-6431    
Karen S Tjaden, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 71 Charles St, Deadwood, SD 57732
Phone: 605-717-6431    Fax: 605-719-6471
Thomas J Groeger, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 71 Charles St, Deadwood, SD 57732
Phone: 605-717-6431    Fax: 605-719-6471

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.