Glenn Ross Gangi, MD - Medicare Urology in Mullins, SC

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 42 years of diverse experience with area of expertise as Urology. He is a member of the group practice Atlantic Urology Clinics Llc 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.

Contact Information

Glenn Ross Gangi, MD
2835 E Hwy 76, Ste 3,
Mullins, SC 29574
(843) 423-0230
(843) 423-0802



Physician's Profile

Full NameGlenn Ross Gangi
GenderMale
SpecialityUrology
Experience42 Years
Location2835 E Hwy 76, Mullins, South Carolina
Accepts Medicare AssignmentsYes. 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.
IdentifierTypeStateIssuer
1932176195NPI-NPPES
7905534MedicaidNC
G1521MedicaidSC
0930136OtherSCCIGNA
000000206904OtherSCUNISON HEALTH PLAN
4241328OtherSCAETNA
776932OtherSCWELLCARE
P00360556OtherSCRAILROAD MEDICARE
GP4522MedicaidSC
T10681MedicaidSC
2199551AOtherNCCIGNA MEDICARE
80023027OtherSCSELECT HEALTH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 17068 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kindred At HomeMyrtle beach, SCHome health agency
Mcleod Loris HospitalLoris, SCHospital
Conway Medical CenterConway, SCHospital
Mcleod Regional Medical Center-pee DeeFlorence, SCHospital
Grand Strand Regional Medical CenterMyrtle beach, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Atlantic Urology Clinics Llc084029663829

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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 NameAtlantic Urology Clinics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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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Urology Doctors in Mullins, SC


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