Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason W. Wickersham, MD

Individual provider Family Medicine Physician · NPI 1073594172

Jason W. Wickersham, MD is a Family Practice in Parkston, South Dakota. Graduated from Sanford School of Medicine of University of South Dakota in 2001, 25 years ago. Practices with St Benedict Health Center, a 13-clinician group and accepts Medicare assignment. Licensed in South Dakota.

Years since qualifying
25
Trained at
Sanford School of Medicine of University of South Dakota
Licensed in
SD
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

401 W Glynn Dr
Parkston, SD 57366-9605
Phone: (605) 928-3311
Fax: (605) 928-7368
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5450 (SD)

Record details

NPI number1073594172
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 7, 2005
Last updated in NPPESAugust 9, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesEMERGENCY MEDICINE
Medical schoolSANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduated 2001 (25 years in practice)
Group practice St Benedict Health Center — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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