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

Mr. Alan Michael Meredith, PAC

Individual provider Physician Assistant · NPI 1053656298

Mr. Alan Michael Meredith, PAC is a Physician Assistant in Waterloo, Illinois. Qualified in 2012, 14 years ago. Practices with Mercy Clinic Illinois, LLC, a 6-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Missouri.

Years since qualifying
14
Licensed in
IL, MO
In the registry since
2012
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

1551 N Il Rt 3
Waterloo, IL 62298
Phone: (618) 504-5008
Fax: (618) 504-5009
Show map & directions

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

Additional practice locations (3)

  • 2704 N Center St, Maryville, IL 62062-5624 — (618) 623-8711
  • 6812 State Route 162, Maryville, IL 62062 — (618) 288-5566
  • 801 Hazelwest Dr, Hazelwood, MO 63042-1754 — (314) 919-2700

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2024018875 (MO)
Physician Assistant Taxonomy 363A00000X · Licence 085.004538 (IL)

Record details

NPI number1053656298
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 28, 2012
Last updated in NPPESApril 30, 2025
Certification dateApril 21, 2025
Mailing addressPo Box 776084, Chicago, IL 60677-6084

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Mercy Clinic Illinois, Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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