Glenn Ross Gangi, MD is a medicare enrolled "Urology" physician in Mullins, South Carolina. He went to Albert Einstein College Of Medicine Of Yeshiva University and graduated in 1982 and has 43 years of diverse experience with area of expertise as Urology. He is a member of the group practice Atlantic Urology Clinics Llc, Mcleod Physician Associates Ii and his current practice location is
2835 E Hwy 76, Ste 3, Mullins, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 423-0230.
Glenn Ross Gangi is licensed to practice in South Carolina (license number 17068) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1932176195.
Physician's Profile
Full Name | Glenn Ross Gangi |
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Gender | Male |
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Speciality | Urology |
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Experience | 43 Years |
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Location | 2835 E Hwy 76, Mullins, South Carolina |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Glenn Ross Gangi attended and graduated from Albert Einstein College Of Medicine Of Yeshiva University in 1982
NPI Data:
- NPI Number: 1932176195
- Provider Enumeration Date: 03/07/2006
- Last Update Date: 12/29/2016
Medicare PECOS Information:
- PECOS PAC ID: 5092774695
- Enrollment ID: I20061024000143
Medical Identifiers
Medical identifiers for Glenn Ross Gangi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932176195 | NPI | - | NPPES |
7905534 | Medicaid | NC | |
G1521 | Medicaid | SC | |
0930136 | Other | SC | CIGNA |
000000206904 | Other | SC | UNISON HEALTH PLAN |
4241328 | Other | SC | AETNA |
776932 | Other | SC | WELLCARE |
P00360556 | Other | SC | RAILROAD MEDICARE |
GP4522 | Medicaid | SC | |
T10681 | Medicaid | SC | |
2199551A | Other | NC | CIGNA MEDICARE |
80023027 | Other | SC | SELECT HEALTH |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 17068 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Atlantic Urology Clinics Llc | 0840296638 | 29 |
Mcleod Physician Associates Ii | 8224031307 | 543 |
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. Glenn Ross Gangi allows following entities to bill medicare on his behalf.
Entity Name | Mcleod Physician Associates Ii |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568 |
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Entity Name | Atlantic Urology Clinics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447293790 PECOS PAC ID: 0840296638 Enrollment ID: O20061019000077 |
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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. Glenn Ross Gangi 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 Address | Practice Location Address |
Glenn Ross Gangi, MD 2234 Colonial Blvd, Managed Care Dept, Fort Myers, FL 33907-1412 Ph: (239) 931-7342 | Glenn Ross Gangi, MD 2835 E Hwy 76, Ste 3, Mullins, SC 29574 Ph: (843) 423-0230 |
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