| 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 | 42 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 Hospice | Saint cloud, MN | Hospice |
| Centracare Health System - Long Prairie | Long prairie, 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 | 31 |
| 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 |
Deborah Peterson Rasmussen, 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 | |
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 |