Matthew Raider Md Llc - Medicare Primary Care in Middletown, CT

Matthew Raider Md Llc is a medicare enrolled primary clinic (Family Medicine - Geriatric Medicine) in Middletown, Connecticut. The current practice location for Matthew Raider Md Llc is 645 Saybrook Rd, Middletown, Connecticut. For appointments, you can reach them via phone at (860) 767-4024. The mailing address for Matthew Raider Md Llc is 645 Saybrook Rd, Middletown, Connecticut and phone number is (860) 767-4024.

Matthew Raider Md Llc is licensed to practice in Connecticut (license number 22948). The clinic also participates in the medicare program and its NPI number is 1093952194. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (860) 767-4024.

Contact Information

Matthew Raider Md Llc
645 Saybrook Rd
Middletown
CT 06457-4746
(860) 767-4024
Not Available

Primary Care Clinic Profile

Full NameMatthew Raider Md Llc
SpecialityFamily Medicine
Location645 Saybrook Rd, Middletown, Connecticut
Authorized Official Name and PositionMatthew J Raider (SOLE PROPRIETOR)
Authorized Official Contact8607674024
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Matthew Raider Md Llc
645 Saybrook Rd
Middletown
CT 06457-4746

Ph: (860) 767-4024
Matthew Raider Md Llc
645 Saybrook Rd
Middletown
CT 06457-4746

Ph: (860) 767-4024

NPI Details:

NPI Number1093952194
Provider Enumeration Date01/11/2009
Last Update Date02/19/2009

Medicare PECOS Information:

Medicare PECOS PAC ID1254495245
Medicare Enrollment IDO20090206000145

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Medical Identifiers

Medical identifiers for Matthew Raider Md Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093952194NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QG0300XFamily Medicine - Geriatric Medicine 22948 (Connecticut)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Matthew Raider Md Llc acts as a billing entity for following providers:
Provider NameMatthew J Raider
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073562674
PECOS PAC ID: 4587677737
Enrollment ID: I20060711000224

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