Beverly Cole Iltis (NPI# 1326015074, PAC ID# 4183682735) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1326015074 |
| PAC ID by PECOS | 4183682735 |
| Professional Enrollment ID | I20041229000209 |
| Full Name | Beverly Cole Iltis |
| Organization Legal Name | REGIONAL CLINICS OF LONGVIEW |
| Address |
1009 N 4th St Suite A Longview TX 75601-4768 |
| Phone Number | 9037573808 |
| Gender | F |
| Credential | PA |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 7214016559 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450702 | LONGVIEW REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1009 N 4th St, Suite A, Longview, TX 75601-4768 | 9037573808 | REGIONAL CLINICS OF LONGVIEW |
| 2021 W Loop, Suite 281, Longview, TX 75604-2504 | 9032951396 | REGIONAL CLINICS OF LONGVIEW |
| Organization Legal Name | REGIONAL CLINICS OF LONGVIEW |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Esther Gayle Ferrell | Nurse Practitioner | Regional Clinics of Longview | 2021 W Loop, Suite 281, Longview, TX 75604-2504 |
| Rodney L Henry | Cardiovascular Disease (cardiology) | Regional Clinics of Longview | 709 Hollybrook Dr, Suite 2301, Longview, TX 75605-2412 |
| Sabrina M Benefield | Obstetrics/gynecology | Regional Clinics of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| Jack M Graham | Obstetrics/gynecology | Regional Clinics of Longview | 802 Medical Dr, Suite 205, Longview, TX 75605-5208 |
| Samir V Germanwala | Cardiovascular Disease (cardiology) | Regional Clinics of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| Jorge E Massare | Cardiac Electrophysiology | Regional Clinics of Longview | 709 Hollybrook Dr, Suite 2301, Longview, TX 75605-2412 |
| Chad Crossland | Nurse Practitioner | Regional Clinics of Longview | 709 Hollybrook Dr, Suite 3400, Longview, TX 75605-2412 |
| Larry Fulton Holman | Nurse Practitioner | Regional Clinics of Longview | 709 Hollybrook Dr, Suite 2301, Longview, TX 75605-2412 |
| James E Harrell Jr. | Thoracic Surgery | Regional Clinics of Longview | 709 Hollybrook Dr, Suite 2301, Longview, TX 75605-2412 |
| Jonathan D Greifenkamp | Cardiovascular Disease (cardiology) | Regional Clinics of Longview | 709 Hollybrook Dr, Suite 2301, Longview, TX 75605-2412 |
| Street Address |
1009 N 4TH ST SUITE A |
| City | LONGVIEW |
| State | TX |
| Zip | 75601-4768 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sabrina M Benefield | Obstetrics/gynecology | Regional Clinics of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| Samir V Germanwala | Cardiovascular Disease (cardiology) | Regional Clinics of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| Theresa Martin | Obstetrics/gynecology | Regional Clinics of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| Glenn Genovese | Pulmonary Disease | Regional Clinics of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| Susan Rae Jones | Physician Assistant | Associated Clinicians of East Texas | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| Lynn M Brazell | Obstetrics/gynecology | Regional Clinics of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| Paul B Williams | Urology | Regional Clinics of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| Ala Nijim | Internal Medicine | Regional Clinics of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| Helen Charisse Daniel | Internal Medicine | Regional Clinics of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| Sudha Rani Yanamandra | Internal Medicine | Regional Clinics of Longview | 1009 N 4th St, Suite A, Longview, TX 75601-4768 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daytral Matasha Brown | Nurse Practitioner | 103 Woodbine Pl A, The Beverly Clinic, Longview, TX 75601-2912 | |
| Andrea M Marjason | Clinical Social Worker | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Michelle Ann Vess | Physician Assistant | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Donald Winsted | Psychologist, Clinical | 103 Woodbine Pl A, Longview, TX 75601-2912 | |
| Courtney Elizabeth Treat | Physician Assistant | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Jeremiah R Sanders | Nurse Practitioner | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Carrie D Hinton | Nurse Practitioner | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Gracie M Adkisson | Nurse Practitioner | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Longview, TX 75601-2912 |
| Debbie L Anderson | Clinical Social Worker | Sabine Valley Regional Mhmr Center | 107 Woodbine Pl, Sabine Valley Regional Mhmr, Longview, TX 75601-2912 |
| Thomas Jay Dehaven | Ophthalmology | Trinity Clinic | 1705 Judson Rd, Longview, TX 75601-2938 |
| Find all physicians in zip 75601 | |||
| City | LONGVIEW |
| Zip Code | 75601 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LONGVIEW + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Beverly Cole Iltis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.