Madison Memorial Rexburg Medical Clinic - Medicare Primary Care in Rexburg, ID

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Madison Memorial Rexburg Medical Clinic is a medicare enrolled primary clinic (Family Medicine) in Rexburg, Idaho. The current practice location for Madison Memorial Rexburg Medical Clinic is 393 E 2nd N, Rexburg, Idaho. For appointments, you can reach them via phone at (208) 356-5401. The mailing address for Madison Memorial Rexburg Medical Clinic is 393 E 2nd N, Rexburg, Idaho and phone number is (208) 356-5401.

Madison Memorial Rexburg Medical Clinic is licensed to practice in Idaho (license number 40). The clinic also participates in the medicare program and its NPI number is 1134592017. 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 (208) 356-5401.

Contact Information

Madison Memorial Rexburg Medical Clinic
393 E 2nd N
Rexburg
ID 83440-1605
(208) 356-5401
(208) 356-3111

Map and Direction


Primary Care Clinic Profile

Full NameMadison Memorial Rexburg Medical Clinic
SpecialityFamily Medicine
Location393 E 2nd N, Rexburg, Idaho
Authorized Official Name and PositionRachel Gonzales (CHIEF EXECUTIVE OFFICER)
Authorized Official Contact2083596900
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Madison Memorial Rexburg Medical Clinic
393 E 2nd N
Rexburg
ID 83440-1605

Ph: (208) 356-5401		Madison Memorial Rexburg Medical Clinic
393 E 2nd N
Rexburg
ID 83440-1605

Ph: (208) 356-5401

NPI Details:

NPI Number1134592017
Provider Enumeration Date11/02/2015
Last Update Date10/23/2023

Medicare PECOS Information:

Medicare PECOS PAC ID8123016367
Medicare Enrollment IDO20040505000664

Medical Identifiers

Medical identifiers for Madison Memorial Rexburg Medical Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134592017NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 40 (Idaho)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Madison Memorial Rexburg Medical Clinic acts as a billing entity for following providers:
Provider NameCorey T Rammell
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013008697
PECOS PAC ID: 4789673740
Enrollment ID: I20040506001181
Provider NameCharles J Zollinger
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629182282
PECOS PAC ID: 4880683853
Enrollment ID: I20040506001245
Provider NameMichael Packer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659454734
PECOS PAC ID: 9436142221
Enrollment ID: I20040506001435
Provider NameJoseph E Watson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336140664
PECOS PAC ID: 3678588605
Enrollment ID: I20060213000685
Provider NameScott Russel Hardy
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750329629
PECOS PAC ID: 7810994779
Enrollment ID: I20061107000265
Provider NameSteven H Lofgran
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154524734
PECOS PAC ID: 2860575180
Enrollment ID: I20080212000510
Provider NameRobert E Meredith
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1932311925
PECOS PAC ID: 5698802817
Enrollment ID: I20100513000501
Provider NameJack O Clark
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902992837
PECOS PAC ID: 2264564491
Enrollment ID: I20100722000929
Provider NameLinda R Webster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558662064
PECOS PAC ID: 9638359458
Enrollment ID: I20110211000365
Provider NameEric E Barton
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1306847819
PECOS PAC ID: 2961527239
Enrollment ID: I20120124000687
Provider NameCameron J Codd
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1912150772
PECOS PAC ID: 6406015080
Enrollment ID: I20120319000206
Provider NameJason E Hymas
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1518196021
PECOS PAC ID: 8729244504
Enrollment ID: I20120723000812
Provider NameBrian P Beesley
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1205129897
PECOS PAC ID: 1658523287
Enrollment ID: I20140923001377
Provider NameMarie Horne
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1881059103
PECOS PAC ID: 3375840929
Enrollment ID: I20160324001541
Provider NameMatheau G Eysser
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1356629885
PECOS PAC ID: 4981836947
Enrollment ID: I20170908003246
Provider NameAdriann J Wilcox
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003312489
PECOS PAC ID: 0648526533
Enrollment ID: I20180706002368
Provider NameSusan Clark
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1124676663
PECOS PAC ID: 3476980053
Enrollment ID: I20200318001657
Provider NameRebecca Allison Helie
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1154942555
PECOS PAC ID: 0648693994
Enrollment ID: I20200706002150
Provider NameAngela Peterson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851916365
PECOS PAC ID: 4880018266
Enrollment ID: I20200717001259
Provider NameSuzanne Moore Wilbrecht
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1861090219
PECOS PAC ID: 1456768837
Enrollment ID: I20211115001022
Provider NameTyler H Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801532106
PECOS PAC ID: 9830578640
Enrollment ID: I20220624002623
Provider NameJames P Morris
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1427584762
PECOS PAC ID: 8921351362
Enrollment ID: I20220815003382
Provider NameJames N Mccoy
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1790211092
PECOS PAC ID: 4284988460
Enrollment ID: I20220816002627
Provider NameColby R Brower
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689237752
PECOS PAC ID: 6800120882
Enrollment ID: I20220817002469
Provider NameJordan W Crafton
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1861840274
PECOS PAC ID: 7618390527
Enrollment ID: I20230124002539
Provider NameMelissa Marie Black
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659077238
PECOS PAC ID: 2961862735
Enrollment ID: I20230712003238
Provider NameCameron Stephenson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790065738
PECOS PAC ID: 4385929819
Enrollment ID: I20230725001511

Reviews and Comments


Family Medicine in Rexburg, ID

Northridge Internal Medicine, Pllc
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Medicare: Not Enrolled in Medicare
Practice Location: 36 Professional Plz, Ste-102, Rexburg, ID 83440
Phone: 208-656-8456    Fax: 208-656-8444
Seasons Medical By Madison Memorial
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 37 S 2nd E, Rexburg, ID 83440
Phone: 208-356-0234    
Rexburg Medical Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 393 E 2nd N, Rexburg, ID 83440
Phone: 208-356-5401    Fax: 208-356-3111
Grand Peaks Medical
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 72 S 1st E Ste 101, Rexburg, ID 83440
Phone: 208-356-4900    Fax: 208-356-3724
Teton Medical Group Pllc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 32 W 1st S, Rexburg, ID 83440
Phone: 208-356-7585    Fax: 208-356-7566
Seasons Medical, Pllc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 37 S 2nd E, Rexburg, ID 83440
Phone: 208-356-0234    Fax: 208-656-0365

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.