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

Beverly K Iltis, PA

Individual provider Physician Assistant · NPI 1326015074

Beverly K Iltis, PA is a Physician Assistant in Longview, Texas. Qualified in 1999, 27 years ago. Practices with Associated Clinicians of East Texas, a 106-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
27
Licensed in
TX
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

805 Medical Dr
Longview, TX 75605-5130
Phone: (903) 757-6042
Fax: (903) 291-6138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA02521 (TX)

Record details

NPI number1326015074
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 1, 2006
Last updated in NPPESNovember 11, 2021
Certification dateNovember 11, 2021
Mailing addressPo Box 610393, Dallas, TX 75261-0393

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Associated Clinicians Of East Texas — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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