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

Philip Detrana, PA

Individual provider Hematology & Oncology Physician · NPI 1063255586

Philip Detrana, PA is a Physician Assistant in Charlottesville, Virginia. Qualified in 2024, 2 years ago. Practices with University of Virginia Physicians Group, a 1,667-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
2
Licensed in
VA
In the registry since
2024
Specialties on file
2
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

1240 Lee St
Charlottesville, VA 22908-0816
Phone: (434) 924-9333
Fax: (434) 244-7526
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1215 Lee St, Charlottesville, VA 22908-0816 — (434) 924-9333

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0110010146 (VA)
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence 0110010146 (VA)

Record details

NPI number1063255586
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 13, 2024
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice University Of Virginia Physicians Group — 1667 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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