| St Benedict Health Center | |
| 
					401 W Glynn Dr Parkston SD 57366-9605  | |
| (605) 928-7961 | |
| (605) 928-4417 | 
| Full Name | St Benedict Health Center | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 401 W Glynn Dr, Parkston, South Dakota | 
| Authorized Official Name and Position | Lindsay R Weber (CEO) | 
| Authorized Official Contact | 6059283311 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| St Benedict Health Center 401 W Glynn Dr Parkston SD 57366-9605 Ph: (605) 928-7961  | St Benedict Health Center 401 W Glynn Dr Parkston SD 57366-9605 Ph: (605) 928-7961  | 
| NPI Number | 1295758266 | 
|---|---|
| Provider Enumeration Date | 07/25/2006 | 
| Last Update Date | 11/30/2022 | 
| Medicare PECOS PAC ID | 4880507672 | 
|---|---|
| Medicare Enrollment ID | O20040129001118 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1295758266 | NPI | - | NPPES | 
| 0007353 | Other | SD | WELLMARK PARKSTON CLINIC | 
| 5340070 | Medicaid | SD | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary | 
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary | 
| Provider Name | Jason W Wickersham | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1073594172 PECOS PAC ID: 7810889763 Enrollment ID: I20040504000306  | 
| Provider Name | Darin Ray Brink | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1376655050 PECOS PAC ID: 6608841978 Enrollment ID: I20040831000139  | 
| Provider Name | Rebecca J Moke | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1083809206 PECOS PAC ID: 0941397582 Enrollment ID: I20071030000322  | 
| Provider Name | David C Arend | 
|---|---|
| Provider Type | Practitioner - Urology | 
| Provider Identifiers | NPI Number: 1548478118 PECOS PAC ID: 0941375505 Enrollment ID: I20080815000278  | 
| Provider Name | Richard W Honke | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1104807858 PECOS PAC ID: 1951431196 Enrollment ID: I20100706000206  | 
| Provider Name | Antoinette J Vanderpol | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1689655789 PECOS PAC ID: 7214910694 Enrollment ID: I20100709000365  | 
| Provider Name | Kynan C Trail | 
|---|---|
| Provider Type | Practitioner - General Surgery | 
| Provider Identifiers | NPI Number: 1962452458 PECOS PAC ID: 6305749912 Enrollment ID: I20111103000495  | 
| Provider Name | Lindsay Rae Weber | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1770867715 PECOS PAC ID: 5698949618 Enrollment ID: I20111130000762  | 
| Provider Name | Paul T Denna | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1376838839 PECOS PAC ID: 8426291717 Enrollment ID: I20140804001897  | 
| Provider Name | Vicki R Lubbers | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1629461520 PECOS PAC ID: 7416277413 Enrollment ID: I20150514001333  | 
| Provider Name | Larissa Sanger | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1518287457 PECOS PAC ID: 1951543404 Enrollment ID: I20151105001496  | 
| Provider Name | Jedd D Bialas | 
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) | 
| Provider Identifiers | NPI Number: 1003157488 PECOS PAC ID: 8123266897 Enrollment ID: I20160226000897  | 
| Provider Name | Annie Thury | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1639617731 PECOS PAC ID: 7113204017 Enrollment ID: I20170502001362  | 
| Provider Name | Cody G Freudenthal | 
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) | 
| Provider Identifiers | NPI Number: 1972965903 PECOS PAC ID: 0345549036 Enrollment ID: I20190219001887  | 
| Provider Name | Jessica Freudenthal | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1114485364 PECOS PAC ID: 1153662853 Enrollment ID: I20190405002160  | 
| Provider Name | Paul D Berndt | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1962936856 PECOS PAC ID: 0749604577 Enrollment ID: I20200727000611  | 
| Provider Name | Melody A Shrack | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1306131602 PECOS PAC ID: 1658523865 Enrollment ID: I20201106001077  | 
| Provider Name | Molly C Mcmanus | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1285117028 PECOS PAC ID: 4486994688 Enrollment ID: I20210902002980  | 
| Provider Name | Ashleigh E Eilts | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1164095113 PECOS PAC ID: 6608274386 Enrollment ID: I20211011001489  | 
| Provider Name | Mariah L Suess | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1518692524 PECOS PAC ID: 8820473101 Enrollment ID: I20220922002810  | 
| Provider Name | Elizabeth E Paul | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1568197580 PECOS PAC ID: 6901279777 Enrollment ID: I20230224002047  | 
| Provider Name | Janice L Gerlach | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1649833401 PECOS PAC ID: 1759617335 Enrollment ID: I20231205003911  | 
| Provider Name | Kerri L Lutjens | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1023716792 PECOS PAC ID: 7911357785 Enrollment ID: I20231220002850  | 
| Provider Name | Hali M Hutcheson | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1669832945 PECOS PAC ID: 1254782378 Enrollment ID: I20240112001431  | 
| Provider Name | Karen C Riley-schweer | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1205417516 PECOS PAC ID: 4284031360 Enrollment ID: I20240709002636  |