Avera St. Benedict Certified Rural Health Clinic, Parkston - Medicare Primary Care in Parkston, SD

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Avera St. Benedict Certified Rural Health Clinic, Parkston is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Parkston, South Dakota. The current practice location for Avera St. Benedict Certified Rural Health Clinic, Parkston is 401 W Glynn Dr, Parkston, South Dakota. For appointments, you can reach them via phone at (605) 928-7961. The mailing address for Avera St. Benedict Certified Rural Health Clinic, Parkston is 401 W Glynn Dr, Parkston, South Dakota and phone number is (605) 928-7961.

Avera St. Benedict Certified Rural Health Clinic, Parkston is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1295758266. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (605) 928-7961.

Contact Information

Avera St. Benedict Certified Rural Health Clinic, Parkston
401 W Glynn Dr
Parkston
SD 57366-9605
(605) 928-7961
(605) 928-4417

Map and Direction


Primary Care Clinic Profile

Full NameAvera St. Benedict Certified Rural Health Clinic, Parkston
SpecialityClinic/Center
Location401 W Glynn Dr, Parkston, South Dakota
Authorized Official Name and PositionLindsay R Weber (CEO)
Authorized Official Contact6059283311
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Avera St. Benedict Certified Rural Health Clinic, Parkston
401 W Glynn Dr
Parkston
SD 57366-9605

Ph: (605) 928-7961		Avera St. Benedict Certified Rural Health Clinic, Parkston
401 W Glynn Dr
Parkston
SD 57366-9605

Ph: (605) 928-7961

NPI Details:

NPI Number1295758266
Provider Enumeration Date07/25/2006
Last Update Date11/30/2022

Medicare PECOS Information:

Medicare PECOS PAC ID4880507672
Medicare Enrollment IDO20040129001118

Medical Identifiers

Medical identifiers for Avera St. Benedict Certified Rural Health Clinic, Parkston such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295758266NPI-NPPES
0007353OtherSDWELLMARK PARKSTON CLINIC
5340070MedicaidSD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
261QR1300XClinic/center - Rural Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Avera St. Benedict Certified Rural Health Clinic, Parkston acts as a billing entity for following providers:
Provider NameJason W Wickersham
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073594172
PECOS PAC ID: 7810889763
Enrollment ID: I20040504000306
Provider NameDarin Ray Brink
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376655050
PECOS PAC ID: 6608841978
Enrollment ID: I20040831000139
Provider NameRebecca J Moke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083809206
PECOS PAC ID: 0941397582
Enrollment ID: I20071030000322
Provider NameDavid C Arend
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1548478118
PECOS PAC ID: 0941375505
Enrollment ID: I20080815000278
Provider NameRichard W Honke
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104807858
PECOS PAC ID: 1951431196
Enrollment ID: I20100706000206
Provider NameAntoinette J Vanderpol
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689655789
PECOS PAC ID: 7214910694
Enrollment ID: I20100709000365
Provider NameKynan C Trail
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1962452458
PECOS PAC ID: 6305749912
Enrollment ID: I20111103000495
Provider NameLindsay Rae Weber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770867715
PECOS PAC ID: 5698949618
Enrollment ID: I20111130000762
Provider NameVicki R Lubbers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629461520
PECOS PAC ID: 7416277413
Enrollment ID: I20150514001333
Provider NameLarissa Sanger
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518287457
PECOS PAC ID: 1951543404
Enrollment ID: I20151105001496
Provider NameJedd D Bialas
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1003157488
PECOS PAC ID: 8123266897
Enrollment ID: I20160226000897
Provider NameAnnie Thury
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639617731
PECOS PAC ID: 7113204017
Enrollment ID: I20170502001362
Provider NameCody G Freudenthal
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1972965903
PECOS PAC ID: 0345549036
Enrollment ID: I20190219001887
Provider NameJessica A Freudenthal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114485364
PECOS PAC ID: 1153662853
Enrollment ID: I20190405002160
Provider NamePaul D Berndt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962936856
PECOS PAC ID: 0749604577
Enrollment ID: I20200727000611
Provider NameMelody A Shrack
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306131602
PECOS PAC ID: 1658523865
Enrollment ID: I20201106001077
Provider NameMolly C Mcmanus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285117028
PECOS PAC ID: 4486994688
Enrollment ID: I20210902002980
Provider NameAshleigh E Eilts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164095113
PECOS PAC ID: 6608274386
Enrollment ID: I20211011001489
Provider NameMariah L Suess
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518692524
PECOS PAC ID: 8820473101
Enrollment ID: I20220922002810
Provider NameElizabeth E Paul
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568197580
PECOS PAC ID: 6901279777
Enrollment ID: I20230224002047
Provider NameJanice L Gerlach
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1649833401
PECOS PAC ID: 1759617335
Enrollment ID: I20231205003911
Provider NameKerri L Lutjens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023716792
PECOS PAC ID: 7911357785
Enrollment ID: I20231220002850
Provider NameHali M Hutcheson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1669832945
PECOS PAC ID: 1254782378
Enrollment ID: I20240112001431

Reviews and Comments


Clinic/Center in Parkston, SD

Avera St Benedict Crhc Parkston
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 401 W Glynn Dr, Parkston, SD 57366
Phone: 605-928-7961    Fax: 605-928-4417

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.