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 | 40 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 |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Monument Health Network Inc | 5991616427 | 141 |
Entity Name | Avera Mckennan |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003389206 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 |
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: Accepting Medicare Assignments Practice Location: 71 Charles St, Deadwood, SD 57732 Phone: 605-717-6431 Fax: 605-719-6471 |