| 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 | 36 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 |
|---|---|---|
| Amedisys Home Health Of Conway | Conway, SC | Home health agency |
| Musc Health Marion Medical Center | Mullins, SC | Hospital |
| Musc Health Florence Medical Center | Florence, SC | Hospital |
| Musc Medical Center | Charleston, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical University Hospital Authority | 1557268950 | 199 |
| 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 |