Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rene Eldidy Jr., MD

Individual provider Family Medicine Physician · NPI 1457342032

Rene Eldidy Jr., MD is a Family Practice in Long Prairie, Minnesota. Qualified in 1983, 43 years ago. Practices with Centracare Clinic, a 782-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
43
Licensed in
MN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

20 9th St SE Centracare Health System - Long Pr
Long Prairie, MN 56347-1404
Phone: (320) 732-2131
Fax: (320) 732-6913
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 36275 (MN)

Record details

NPI number1457342032
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 2, 2005
Last updated in NPPESJanuary 7, 2013
Mailing address20 9th St Se, Centracare Health System - Long Prairie, Long Prairie, MN 56347-1404

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice Centracare Clinic — 782 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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