Philip Detrana, PA is a medicare enrolled "Physician Assistant - Medical" physician in Charlottesville, Virginia. He graduated from medical school in 2024 and has 1 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice University Of Virginia Physicians Group and his current practice location is
1240 Lee St, Charlottesville, Virginia. You can reach out to his office (for appointments etc.) via phone at
(434) 924-9333.
Philip Detrana is licensed to practice in Virginia (license number 0110010146) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063255586.
Physician's Profile
| Full Name | Philip Detrana |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 1 Years |
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| Location | 1240 Lee St, Charlottesville, Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Philip Detrana graduated from medical school in 2024
NPI Data:
- NPI Number: 1063255586
- Provider Enumeration Date: 06/13/2024
- Last Update Date: 08/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 4587101159
- Enrollment ID: I20240731002590
Medical Identifiers
Medical identifiers for Philip Detrana such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063255586 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RH0003X | Internal Medicine - Hematology & Oncology | 0110010146 (Virginia) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 0110010146 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| University Of Virginia Physicians Group | 4880590728 | 1547 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Philip Detrana is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Philip Detrana, PA
Po Box 749112,
Atlanta, GA 30374-9112
Ph: () - | Philip Detrana, PA
1240 Lee St,
Charlottesville, VA 22908-0816
Ph: (434) 924-9333 |
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