Philip Detrana, PA is a
Physician Assistant - Medical physician based in Charlottesville, Virginia. Philip Detrana is licensed to practice in Virginia (license number 0110010146) and his current practice location is 1240 Lee St, Charlottesville, Virginia. He can be reached at his office (for appointments etc.) via phone at
(434) 924-9333.
NPI number for Philip Detrana is 1063255586 and his current mailing address is Po Box 749112, Atlanta, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. 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 - Medical |
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| Location | 1240 Lee St, Charlottesville, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1063255586
- Provider Enumeration Date: 06/13/2024
- Last Update Date: 08/14/2024
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 |
|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 0110010146 (Virginia) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 0110010146 (Virginia) | Primary |
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
NOT enrolled with medicare and thus cannot 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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