Tyler Anthony Ptacek, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Rapid City, South Dakota. He went to University Of Nebraska College Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Rapid City Medical Center Llp and his current practice location is
101 E Minnesota St Ste 200, Rapid City, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 342-3280.
Tyler Anthony Ptacek is licensed to practice in South Dakota (license number 12138) 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 1225324791.
Physician's Profile
| Full Name | Tyler Anthony Ptacek |
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| Gender | Male |
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| Speciality | Pain Management |
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| Experience | 13 Years |
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| Location | 101 E Minnesota St Ste 200, Rapid City, South Dakota |
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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. |
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Medical Education and Training:
- Tyler Anthony Ptacek attended and graduated from University Of Nebraska College Of Medicine in 2011
NPI Data:
- NPI Number: 1225324791
- Provider Enumeration Date: 06/23/2011
- Last Update Date: 10/01/2020
Medicare PECOS Information:
- PECOS PAC ID: 0749598688
- Enrollment ID: I20201023002279
Medical Identifiers
Medical identifiers for Tyler Anthony Ptacek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225324791 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | 6652 (Nebraska) | Secondary |
| 207Q00000X | Family Medicine | 7731 (Kansas) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 2016019592 (Missouri) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 12138 (South Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Rapid City Medical Center Llp | 5890691075 | 91 |
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. Tyler Anthony Ptacek allows following entities to bill medicare on his behalf.
| Entity Name | Rapid City Medical Center Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558373845
PECOS PAC ID: 5890691075
Enrollment ID: O20031209000567 |
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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. Tyler Anthony 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 Address | Practice Location Address |
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Tyler Anthony Ptacek, MD
Po Box 6020,
Rapid City, SD 57709-6020
Ph: (605) 342-3280 | Tyler Anthony Ptacek, MD
101 E Minnesota St Ste 200,
Rapid City, SD 57701-7758
Ph: (605) 342-3280 |
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