Nathaniel A Ptak, is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" physician in Sierra Vista, Arizona. He went to William M. Scholl College Of Podiatric Medicine and graduated in 2019 and has 7 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Sierra Vista Regional Health Center Medical Group Llc and his current practice location is
5750 E Highway 90 Ste 200, Sierra Vista, Arizona. You can reach out to his office (for appointments etc.) via phone at
(520) 263-3761.
Nathaniel A Ptak is licensed to practice in Arizona (license number POD001108) 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 1194387571.
Physician's Profile
| Full Name | Nathaniel A Ptak |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 7 Years |
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| Location | 5750 E Highway 90 Ste 200, Sierra Vista, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Nathaniel A Ptak attended and graduated from William M. Scholl College Of Podiatric Medicine in 2019
NPI Data:
- NPI Number: 1194387571
- Provider Enumeration Date: 07/05/2019
- Last Update Date: 06/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 9830536804
- Enrollment ID: I20240710004710
Medical Identifiers
Medical identifiers for Nathaniel A Ptak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1194387571 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207XX0004X | Orthopaedic Surgery - Foot And Ankle Surgery | 12366058-0501 (Utah) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | POD001108 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Sierra Vista Regional Health Center Medical Group Llc | 3779732854 | 38 |
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. Nathaniel A Ptak allows following entities to bill medicare on his behalf.
| Entity Name | Sierra Vista Regional Health Center Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043575483 PECOS PAC ID: 3779732854 Enrollment ID: O20121004000679 |
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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. Nathaniel A Ptak 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 |
Nathaniel A Ptak, 5750 E Highway 90 Ste 200, Sierra Vista, AZ 85635-9113 Ph: (520) 263-3761 | Nathaniel A Ptak, 5750 E Highway 90 Ste 200, Sierra Vista, AZ 85635-9113 Ph: (520) 263-3761 |
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