Dr Jess Bruce Wagner, MD - Medicare Internal Medicine in Port Royal, SC

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Dr Jess Bruce Wagner, MD is a medicare enrolled "Internal Medicine" physician in Port Royal, South Carolina. His current practice location is 1320 Ribaut Rd, Port Royal, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 986-0900.

Dr Jess Bruce Wagner is licensed to practice in Florida (license number ME125237) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1942301593.

Contact Information

Dr Jess Bruce Wagner, MD
1320 Ribaut Rd,
Port Royal, SC 29935-1118
(843) 986-0900
Not Available

Map and Direction




Physician's Profile

Full NameDr Jess Bruce Wagner
GenderMale
SpecialityInternal Medicine
Location1320 Ribaut Rd, Port Royal, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942301593
  • Provider Enumeration Date: 09/26/2006
  • Last Update Date: 10/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4587827522
  • Enrollment ID: I20190522000434

Medical Identifiers

Medical identifiers for Dr Jess Bruce Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942301593NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 28789 (South Carolina)Secondary
207R00000XInternal Medicine ME125237 (Florida)Primary

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. Dr Jess Bruce Wagner allows following entities to bill medicare on his behalf.
Entity NameCarolinas Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477878890
PECOS PAC ID: 3375449655
Enrollment ID: O20031219000455
Entity NameMecklenburg Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255364535
PECOS PAC ID: 9931196797
Enrollment ID: O20040426001334

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. Dr Jess Bruce Wagner 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 AddressPractice Location Address
Dr Jess Bruce Wagner, MD
719 Okatie Hwy # 170,
Okatie, SC 29909-3963

Ph: (843) 987-7400		Dr Jess Bruce Wagner, MD
1320 Ribaut Rd,
Port Royal, SC 29935-1118

Ph: (843) 986-0900

Reviews and Comments


Internal Medicine Doctors in Port Royal, SC

Dr. Katapadi Surendra Shenoy, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1859 North Paris Avenue, Suite 212, Port Royal, SC 29935
Phone: 843-524-2002    Fax: 843-524-3522
Dr. Rosalind Dawson, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1320 Ribaut Rd, Port Royal, SC 29935
Phone: 843-986-0900    Fax: 843-986-0010

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.