Individual provider · Type 1 NPI

Pamela Ann Van Bevern, PA-C, MPAS

Medical Physician Assistant · Belleville, IL

NPI number 1407970395 Active

Practice location

4700 Memorial Dr Ste 210
Belleville, IL 62226-5373

Fax (618) 235-1464

Mailing address

4600 Memorial Dr, Ste. 160
Belleville, IL 62226-5368

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X0850000407 (IL)
Medical Physician Assistant Primary 363AM0700X85000407 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1407970395

Pamela Ann Van Bevern, PA-C, MPAS's National Provider Identifier is 1407970395, issued on Mar 18, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Belleville, IL. The record was last updated on Sep 26, 2025.