Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Rex Allen Meredith, PA-C

Individual provider Medical Physician Assistant · NPI 1780965038

Mr. Rex Allen Meredith, PA-C is a Physician Assistant in Rexburg, Idaho. Qualified in 2005, 21 years ago. Practices with Madison Co Memorial Hospital, a 34-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
21
Licensed in
ID
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

393 E 2nd N
Rexburg, ID 83440-1605
Phone: (208) 359-6781
Fax: (208) 356-3111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 37 S 2nd E, Rexburg, ID 83440-1906 — (208) 356-0234

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA-923 (ID)

Record details

NPI number1780965038
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 31, 2011
Last updated in NPPESJune 1, 2021
Certification dateJune 1, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Madison Co Memorial Hospital — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rexburg