Russell E Rider, MD is a medicare enrolled "Family Medicine" physician in Long Lake, New York. He went to State University Of Ny Upstate Medical University and graduated in 1986 and has 39 years of diverse experience with area of expertise as Family Practice. His current practice location is
8561 Newcomb Rd, Long Lake, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 624-2301.
Russell E Rider is licensed to practice in New York (license number 1712651) 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 1245244649.
Physician's Profile
Full Name | Russell E Rider |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 39 Years |
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Location | 8561 Newcomb Rd, Long Lake, New York |
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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:
- Russell E Rider attended and graduated from State University Of Ny Upstate Medical University in 1986
NPI Data:
- NPI Number: 1245244649
- Provider Enumeration Date: 07/28/2006
- Last Update Date: 09/11/2014
Medicare PECOS Information:
- PECOS PAC ID: 3476583857
- Enrollment ID: I20050825000599
Medical Identifiers
Medical identifiers for Russell E Rider such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245244649 | NPI | - | NPPES |
01110874 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 1712651 (New York) | Primary |
Medical Facilities Affiliation
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. Russell E Rider 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 |
Russell E Rider, MD Po Box 129, Long Lake, NY 12847-0129 Ph: (518) 624-2301 | Russell E Rider, MD 8561 Newcomb Rd, Long Lake, NY 12847-0129 Ph: (518) 624-2301 |
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