Dr Travis John Ptacek, MD - Medicare Family Practice in Portsmouth, VA

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Dr Travis John Ptacek, MD is a medicare enrolled "Family Medicine" physician in Portsmouth, Virginia. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Madison Community Hospital, Monument Health Network Inc and his current practice location is 620 John Paul Jones Circle, Naval Medical Center Portsmouth, Portsmouth, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 953-5257.

Dr Travis John Ptacek is licensed to practice in South Dakota (license number 12126) 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 1477819944.

Contact Information

Dr Travis John Ptacek, MD
620 John Paul Jones Circle, Naval Medical Center Portsmouth,
Portsmouth, VA 23708-2197
(757) 953-5257
Not Available

Map and Direction




Physician's Profile

Full NameDr Travis John Ptacek
GenderMale
SpecialityFamily Practice
Experience12 Years
Location620 John Paul Jones Circle, Portsmouth, Virginia
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 Travis John Ptacek graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1477819944
  • Provider Enumeration Date: 04/09/2012
  • Last Update Date: 03/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5092087486
  • Enrollment ID: I20200915002674

Medical Identifiers

Medical identifiers for Dr Travis John Ptacek such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477819944NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 12126 (South Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grace Of The Pines Hospice LlcHot springs, SDHospice
Regional Health Home Plus HospiceRapid city, SDHospice
Regional Health Home Plus HospiceSpearfish, SDHospice
Monument Health Rapid City HospitalRapid city, SDHospital
Monument Health Spearfish HospitalSpearfish, SDHospital
Monument Health Custer HospitalCuster, SDHospital
Spearfish Canyon HealthcareSpearfish, SDNursing home
Avantara Mountain ViewRapid city, SDNursing home
Fountain Springs Healthcare CenterRapid city, SDNursing home
Avantara NorthRapid city, SDNursing home
Avantara Saint CloudRapid city, SDNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Madison Community Hospital377957974338
Monument Health Network Inc5991616427141

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 Travis John Ptacek allows following entities to bill medicare on his behalf.
Entity NameMonument Health Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588185268
PECOS PAC ID: 5991616427
Enrollment ID: O20031111000854
Entity NameHuron Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154312429
PECOS PAC ID: 2769393388
Enrollment ID: O20040123000946
Entity NameCity Of Brookings
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932281029
PECOS PAC ID: 1052307105
Enrollment ID: O20040423000002
Entity NameMadison Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588644058
PECOS PAC ID: 3779579743
Enrollment ID: O20040423000982
Entity NameMonument Health Rapid City Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275553463
PECOS PAC ID: 6002729506
Enrollment ID: O20070625000144
Entity NameMadison Community Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1588644058
PECOS PAC ID: 3779579743
Enrollment ID: O20101012001097
Entity NameMy Catholic Doctor Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396201307
PECOS PAC ID: 7214367101
Enrollment ID: O20201207003147
Entity NameTravis J Ptacek Md Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265113260
PECOS PAC ID: 1658725692
Enrollment ID: O20230926001029

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 Travis John 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 Travis John Ptacek, MD
353 Fairmont Blvd,
Rapid City, SD 57701-7375

Ph: (605) 755-1000		Dr Travis John Ptacek, MD
620 John Paul Jones Circle, Naval Medical Center Portsmouth,
Portsmouth, VA 23708-2197

Ph: (757) 953-5257

Reviews and Comments


Family Medicine Doctors in Portsmouth, VA

Dr. Margaret A Baumgarten, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3640 High St Ste 3b, Portsmouth, VA 23707
Phone: 757-397-6344    Fax: 757-606-1185
Dr. Chung U Chung, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2595 Victory Blvd, Portsmouth, VA 23702
Phone: 757-487-4949    Fax: 757-487-5265
Dr. Himani Bhasin, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3640 High Street (suite 2f), Evms Family Medicine - Portsmouth Program, Portsmouth, VA 23707
Phone: 757-264-5913    
Dr. Peter D Sherrod, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-2386    
Dr. Franklin M Soriano Jr., M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4725 Portsmouth Blvd, Portsmouth, VA 23701
Phone: 757-488-6400    Fax: 757-488-2572
Dr. Jose Hiram Rodriguez, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4106 Portsmouth Blvd, Portsmouth, VA 23701
Phone: 757-393-1136    Fax: 757-698-2499
Kathleen Tilman, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-7550    

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).

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