Jennifer Wagner, MD - Medicare Pediatrics in Clover, SC

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Jennifer Wagner, MD is a medicare enrolled "Pediatrics" physician in Clover, South Carolina. Her current practice location is 534 Nautical Dr Ste 2, Clover, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 619-4121.

Jennifer Wagner is licensed to practice in South Carolina (license number 96214) 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 1427445279.

Contact Information

Jennifer Wagner, MD
534 Nautical Dr Ste 2,
Clover, SC 29710-8182
(803) 619-4121
(803) 965-3119

Map and Direction




Physician's Profile

Full NameJennifer Wagner
GenderFemale
SpecialityPediatrics
Location534 Nautical Dr Ste 2, Clover, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427445279
  • Provider Enumeration Date: 04/20/2015
  • Last Update Date: 01/08/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9234488859
  • Enrollment ID: I20180815001672

Medical Identifiers

Medical identifiers for Jennifer Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427445279NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 2026-00005 (North Carolina)Secondary
208000000XPediatrics 96214 (South Carolina)Primary
208000000XPediatrics 57147 (Tennessee)Secondary

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. Jennifer Wagner allows following entities to bill medicare on her behalf.
Entity NameVip Midsouth, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487737912
PECOS PAC ID: 1759272982
Enrollment ID: O20040324001304

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. Jennifer 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
Jennifer Wagner, MD
534 Nautical Dr Ste 2,
Clover, SC 29710-8182

Ph: (803) 619-4121		Jennifer Wagner, MD
534 Nautical Dr Ste 2,
Clover, SC 29710-8182

Ph: (803) 619-4121

Reviews and Comments


Pediatrics Doctors in Clover, SC

Dr. Amy Little, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 534 Nautical Dr Ste 2, Clover, SC 29710
Phone: 803-619-4121    

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.