Rene Eldidy Jr, MD | |
20 9th St Se, Centracare Health System - Long Prairie, Long Prairie, MN 56347-1404 | |
(320) 732-2131 | |
(320) 732-6913 |
Full Name | Rene Eldidy Jr |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 41 Years |
Location | 20 9th St Se, Long Prairie, Minnesota |
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 |
---|---|---|---|
1457342032 | NPI | - | NPPES |
1006863 | Other | PREFERRED ONE | |
54Q39EL | Other | BLUE CROSS BLUE SHIELD | |
108065200 | Other | MEDICAL ASSISTANCE MA | |
C11369 | Other | RR MEDICARE | |
HP27075 | Other | HEALTH PARTNERS | |
080128013 | Other | RR MEDICARE | |
115064 | Other | UCARE | |
0128951 | Other | MEDICA HEALTH PLANS | |
638516 | Other | ARAZ GROUP AMERICAS PPO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 36275 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Centracare Health Home Care | Saint cloud, MN | Home health agency |
Centracare Health Hospice | Saint cloud, MN | Hospice |
Centracare Health System - Long Prairie | Long prairie, MN | Hospital |
Centracare Health System - Sauk Centre | Sauk centre, MN | Hospital |
St Cloud Hospital | Saint cloud, MN | Hospital |
Centracare Health System - Long Prairie | Long prairie, MN | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Centracare Health System - Long Prairie | 3870524598 | 30 |
Entity Name | Centracare Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
Entity Name | Centracare Health System - Melrose |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720045073 PECOS PAC ID: 1658270368 Enrollment ID: O20031231000690 |
Entity Name | Centracare Health System - Long Prairie |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164471678 PECOS PAC ID: 3870524598 Enrollment ID: O20050823000460 |
Entity Name | Centracare Health System - Sauk Centre |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578813762 PECOS PAC ID: 4981857216 Enrollment ID: O20130116000380 |
Entity Name | Centracare Health System - Long Prairie |
---|---|
Entity Type | Part B Supplier - Intensive Cardiac Rehabilitation |
Entity Identifiers | NPI Number: 1164471678 PECOS PAC ID: 3870524598 Enrollment ID: O20200130000014 |
Mailing Address | Practice Location Address |
---|---|
Rene Eldidy Jr, MD 20 9th St Se, Centracare Health System - Long Prairie, Long Prairie, MN 56347-1404 Ph: (320) 732-2131 | Rene Eldidy Jr, MD 20 9th St Se, Centracare Health System - Long Prairie, Long Prairie, MN 56347-1404 Ph: (320) 732-2131 |
Cybill Oragwu, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Centracare Dr, Long Prairie, MN 56347 Phone: 320-732-2131 Fax: 320-732-6913 | |
Leah Bryan, MD, MSC Family Medicine Medicare: Medicare Enrolled Practice Location: 50 Centracare Dr, Long Prairie, MN 56347 Phone: 320-732-2131 | |
Deborah Peterson Rasmussen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 9th St Se, Centracare Health System-long Prairie, Long Prairie, MN 56347 Phone: 320-732-2131 Fax: 320-732-6913 | |
Ryan Christopher Scott, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 20 9th St Se, Long Prairie, MN 56347 Phone: 320-732-2131 | |
Paul E. Vangorp, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 20 9th St Se, Centracare Health System Long Prairie, Long Prairie, MN 56347 Phone: 320-732-2131 Fax: 320-732-6913 |