Jenna Kaye Wildman, MD - Medicare Obstetrics & Gynecology in Charleston, SC

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Jenna Kaye Wildman, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Charleston, South Carolina. Her current practice location is 2095 Henry Tecklenburg Dr, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 789-1892.

Jenna Kaye Wildman is licensed to practice in South Carolina (license number 81716) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1174942064.

Contact Information

Jenna Kaye Wildman, MD
2095 Henry Tecklenburg Dr,
Charleston, SC 29414-5733
(843) 789-1892
(843) 606-8036

Map and Direction




Physician's Profile

Full NameJenna Kaye Wildman
GenderFemale
SpecialityObstetrics & Gynecology
Location2095 Henry Tecklenburg Dr, Charleston, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174942064
  • Provider Enumeration Date: 04/08/2014
  • Last Update Date: 07/13/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4082913686
  • Enrollment ID: I20200415002974

Medical Identifiers

Medical identifiers for Jenna Kaye Wildman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174942064NPI-NPPES
817166MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 81716 (South Carolina)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. Jenna Kaye Wildman allows following entities to bill medicare on her behalf.
Entity NameWest Ashley Obgyn Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356546170
PECOS PAC ID: 8426090580
Enrollment ID: O20050531000069
Entity NameFetter Health Care Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003827304
PECOS PAC ID: 9032215199
Enrollment ID: O20070507000192
Entity NameRoper Saint Francis Physicians Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346752383
PECOS PAC ID: 5193874824
Enrollment ID: O20090528000405
Entity NameObhg South Carolina Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538457361
PECOS PAC ID: 7012182504
Enrollment ID: O20111212000681
Entity NameFetter Health Care Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982124301
PECOS PAC ID: 9032215199
Enrollment ID: O20171228002000
Entity NameFetter Health Care Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518454818
PECOS PAC ID: 9032215199
Enrollment ID: O20190118001672
Entity NameFetter Health Care Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659872059
PECOS PAC ID: 9032215199
Enrollment ID: O20190930000858
Entity NameUwh Of The Carolinas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639506470
PECOS PAC ID: 0042448169
Enrollment ID: O20210318002461
Entity NameFetter Health Care Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457007841
PECOS PAC ID: 9032215199
Enrollment ID: O20221012001595

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. Jenna Kaye Wildman 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
Jenna Kaye Wildman, MD
Po Box 751649,
Charlotte, NC 28275-1649

Ph: (251) 415-8602		Jenna Kaye Wildman, MD
2095 Henry Tecklenburg Dr,
Charleston, SC 29414-5733

Ph: (843) 789-1892

Reviews and Comments


Obstetrics & Gynecology Doctors in Charleston, SC

Bethany Anne Bruno, MD, MA
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 171 Ashley Ave, Charleston, SC 29425
Phone: 843-792-2300    
Matthew Kohler, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 171 Ashley Ave, Charleston, SC 29425
Phone: 843-792-1414    
Ashlyn Holstein Savage, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 171 Ashley Ave, Charleston, SC 29425
Phone: 843-792-1414    
Dr. Elsa C Caire, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 2097 Henry Tecklenburg Dr, Suite 312w, Charleston, SC 29414
Phone: 843-769-5620    Fax: 843-769-5625
Paula E Orr, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 5319 Parkshire Way, Charleston, SC 29418
Phone: 843-767-2121    Fax: 843-767-2102
Monica June Mitchum, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1027 Physicians Dr Ste 110, Charleston, SC 29414
Phone: 843-740-6700    Fax: 843-745-9428
Phillip Andres Rodriguez, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 169 Ashley Ave, Room 202 Main Hospital Msc333, Charleston, SC 29425
Phone: 843-792-7108    

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.