| Travis J Ptacek Md Pllc | |
|
529 Kansas City St Ste 203 Rapid City SD 57701-3693 | |
| (605) 223-0011 | |
| Not Available |
| Full Name | Travis J Ptacek Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 529 Kansas City St Ste 203, Rapid City, South Dakota |
| Authorized Official Name and Position | Travis Ptacek (PHYSICIAN) |
| Authorized Official Contact | 6052230011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Travis J Ptacek Md Pllc 529 Kansas City St Ste 203 Rapid City SD 57701-3693 Ph: () - | Travis J Ptacek Md Pllc 529 Kansas City St Ste 203 Rapid City SD 57701-3693 Ph: (605) 223-0011 |
| NPI Number | 1265113260 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 10/16/2024 |
| Medicare PECOS PAC ID | 1658725692 |
|---|---|
| Medicare Enrollment ID | O20230926001029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265113260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Jeanie M Lembke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922054279 PECOS PAC ID: 8325189715 Enrollment ID: I20100107000339 |
| Provider Name | Ashley E Brunmaier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336684372 PECOS PAC ID: 3173807401 Enrollment ID: I20170303001167 |
| Provider Name | Travis J. Ptacek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477819944 PECOS PAC ID: 5092087486 Enrollment ID: I20200915002674 |
| Provider Name | Patrick D Flanigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083245393 PECOS PAC ID: 9133557572 Enrollment ID: I20210112002807 |
| Provider Name | Kristina D Jurgensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376240739 PECOS PAC ID: 7012377187 Enrollment ID: I20230720002756 |
| Provider Name | Amanda Michelle Huck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700344926 PECOS PAC ID: 9931569951 Enrollment ID: I20230721000923 |
| Provider Name | Mckaela Aghbashian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407534332 PECOS PAC ID: 3971950304 Enrollment ID: I20231107002512 |
James M. Keegan Md Professional Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4940 5th St, Suite 1b, Rapid City, SD 57701 Phone: 605-342-8329 | |
Rapid City Medical Center Llp Westside Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3810 Jackson Blvd, Rapid City, SD 57702 Phone: 605-343-4050 | |
Kirby Health Care, P. C. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 Centre St Ste 102, Rapid City, SD 57703 Phone: 605-484-9775 Fax: 605-343-3007 | |
Rapid City Medical Center Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 101 E Minnesota St, Suite 210, Rapid City, SD 57701 Phone: 605-342-3280 | |
Family Medicine Residency Clinic Part B Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 E Monroe St, Rapid City, SD 57701 Phone: 605-719-4060 Fax: 605-755-7884 | |
Swanson Chiropractic, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 E Saint Patrick St, 101, Rapid City, SD 57701 Phone: 605-721-6510 Fax: 605-721-6515 | |
Black Hills Hospitalist Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 E Minnesota St, Suite 261, Rapid City, SD 57701 Phone: 605-718-7450 Fax: 605-718-7465 |