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

Alex C Moss, PAC

Individual provider Physician Assistant · NPI 1437232659

Alex C Moss, PAC is a Physician Assistant in Montpelier, Idaho. Qualified in 2004, 22 years ago. Practices with Bear Lake County Memorial Hospital, a 31-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
22
Licensed in
ID
In the registry since
2006
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

465 Washington St
Montpelier, ID 83254-1544
Phone: (208) 847-2878
Fax: (208) 847-2340
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA516 (ID)

Record details

NPI number1437232659
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorYes
NPI enumeratedOctober 23, 2006
Last updated in NPPESJune 19, 2008
Mailing address465 Washington St, Montpelier, ID 83254-1544

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Bear Lake County Memorial Hospital — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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