Mr Jason William Ptak, PA-C in Hartford, CT - Medicare Physician Assistant

Mr Jason William Ptak, PA-C is a medicare enrolled "Physician Assistant - Medical" in Hartford, Connecticut. He graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Poudre Valley Medical Group Llc and his current practice location is 500 Albany Ave, Hartford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 249-9625.

Mr Jason William Ptak is licensed to practice in Connecticut (license number 005617) 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 1437566338.

Contact Information

	Mr Jason William Ptak, PA-C
	500 Albany Ave, Hartford, CT 06120-2508
	(860) 249-9625
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Jason William Ptak
Gender	Male
Speciality	Physician Assistant
Experience	12 Years
Location	500 Albany Ave, Hartford, Connecticut
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:

Mr Jason William Ptak graduated from nursing school in 2014

NPI Data:

NPI Number: 1437566338
Provider Enumeration Date: 07/13/2014
Last Update Date: 03/13/2023

Medicare PECOS Information:

PECOS PAC ID: 3072866755
Enrollment ID: I20250718004006

Medical Identifiers

Medical identifiers for Mr Jason William Ptak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437566338	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Secondary
363AM0700X	Physician Assistant - Medical	PA-1993 (Idaho)	Secondary
363AM0700X	Physician Assistant - Medical	005617 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Uch-memorial Health System	Colorado springs, CO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Poudre Valley Medical Group Llc	9638208549	2394

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. Mr Jason William 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
Mr Jason William Ptak, PA-C 500 Albany Ave, Hartford, CT 06120-2508 Ph: (860) 249-9625	Mr Jason William Ptak, PA-C 500 Albany Ave, Hartford, CT 06120-2508 Ph: (860) 249-9625

Reviews and Comments

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Mr Jason William Ptak, PA-C - Medicare Physician Assistant in Hartford, CT