Gangatharan Mathisuthan, MD | |
511 S Main St, Mullins, SC 29574-3509 | |
(843) 464-8244 | |
(843) 464-6519 |
Full Name | Gangatharan Mathisuthan |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 35 Years |
Location | 511 S Main St, Mullins, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982668745 | NPI | - | NPPES |
183864 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 18386 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Musc Health At Home By Bayada-conway | Conway, SC | Home health agency |
Musc Health Marion Medical Center | Mullins, SC | Hospital |
Musc Health Florence Medical Center | Florence, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical University Hospital Authority | 1557268950 | 173 |
Entity Name | Medical University Hospital Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255305876 PECOS PAC ID: 1557268950 Enrollment ID: O20031215000499 |
Entity Name | Carolina Family Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184655722 PECOS PAC ID: 4587557731 Enrollment ID: O20040203000627 |
Mailing Address | Practice Location Address |
---|---|
Gangatharan Mathisuthan, MD Po Box 388, Mullins, SC 29574-0388 Ph: (843) 464-8244 | Gangatharan Mathisuthan, MD 511 S Main St, Mullins, SC 29574-3509 Ph: (843) 464-8244 |
James Louis Dedonis, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2835 E Highway 76 Ste 5, Mullins, SC 29574 Phone: 843-431-2171 Fax: 843-431-2999 | |
Okechukwu Dimkpa, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2829 E Highway 76, Mullins, SC 29574 Phone: 843-431-2000 | |
Mr. Daniel K. Ng, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2835 E Highway 76 Ste 5, Mullins, SC 29574 Phone: 843-431-2171 | |
Solomon Jan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2829 E Highway 76, Mullins, SC 29574 Phone: 843-431-2000 | |
Dr. Parmanand Dawani, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 230 S Main St, Mullins, SC 29574 Phone: 843-464-8750 Fax: 843-464-0938 |