| Beverly K Iltis, PA | |
|
805 Medical Dr, Longview, TX 75605-5130 | |
| (903) 757-6042 | |
| (903) 291-6138 |
| Full Name | Beverly K Iltis |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 805 Medical Dr, Longview, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326015074 | NPI | - | NPPES |
| 286521406 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA02521 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Onesource Home Care Inc | Longview, TX | Home health agency |
| Traditions Health Care | Longview, TX | Home health agency |
| Premier Home Care | Longview, TX | Home health agency |
| Longview Regional Medical Center | Longview, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Associated Clinicians Of East Texas | 4789957440 | 93 |
| Mailing Address | Practice Location Address |
|---|---|
| Beverly K Iltis, PA Po Box 610393, Dallas, TX 75261-0393 Ph: (903) 757-6042 | Beverly K Iltis, PA 805 Medical Dr, Longview, TX 75605-5130 Ph: (903) 757-6042 |
Paul L. Burch, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2131 S Mobberly Ave, Longview, TX 75602 Phone: 903-315-5750 Fax: 903-236-7145 | |
Mr. David Edward Stanley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 323 E Hawkins Pkwy, Suite A, Longview, TX 75605 Phone: 903-758-2746 Fax: 903-758-7127 | |
Kraig A. Dekoker, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 323 E Hawkins Pkwy, Suite A, Longview, TX 75605 Phone: 903-758-2746 Fax: 903-758-7127 | |
Randy Ranshawn Moore, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 425 N Fredonia St, Longview, TX 75601 Phone: 903-758-2610 Fax: 903-758-7081 | |
Mrs. Amy J Malone, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1300 N 4th St, Longview, TX 75601 Phone: 903-757-6042 Fax: 903-758-1801 | |
Ms. Ashley Briana-marie Gentry, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 707 Hollybrook Dr # 200, Longview, TX 75605 Phone: 903-235-9787 Fax: 903-291-6155 | |
Michael L. Smith, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2010 Bill Owens Pkwy, Longview, TX 75604 Phone: 903-247-3400 Fax: 903-238-9183 |