| Mr Jason William Ptak, PA-C | |
|
500 Albany Ave, Hartford, CT 06120-2508 | |
| (860) 249-9625 | |
| Not Available |
| 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437566338 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Colo Health Memorial Hospital Central | Colorado springs, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Poudre Valley Medical Group Llc | 9638208549 | 2425 |
| Entity Name | Poudre Valley Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
| 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 |
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