Derek Poley, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Gibraltar, Michigan. He graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Henry Ford Physician Partners and his current practice location is
19850 M Gibraltar Rd, Gibraltar, Michigan. You can reach out to his office (for appointments etc.) via phone at
(734) 301-3125.
Derek Poley is licensed to practice in Michigan (license number 4704292642) 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 1134648033.
Provider's Profile
| Full Name | Derek Poley |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 8 Years |
|---|
| Location | 19850 M Gibraltar Rd, Gibraltar, Michigan |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Derek Poley graduated from nursing school in 2017
NPI Data:
- NPI Number: 1134648033
- Provider Enumeration Date: 09/12/2017
- Last Update Date: 12/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204244148
- Enrollment ID: I20210414001826
Medical Identifiers
Medical identifiers for Derek Poley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134648033 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 021315 (Ohio) | Secondary |
| 363L00000X | Nurse Practitioner | 4704292642 (Michigan) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4704292642 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Henry Ford Physician Partners | 8921482605 | 73 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Derek Poley allows following entities to bill medicare on his behalf.
| Entity Name | Premier Cardiovascular Specialists Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1083854095
PECOS PAC ID: 6406904192
Enrollment ID: O20090507000304 |
|---|
| Entity Name | Henry Ford Physician Partners |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1427703602
PECOS PAC ID: 8921482605
Enrollment ID: O20220830000387 |
|---|
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. Derek Poley 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 |
|---|
Derek Poley, NP-C
1 Ford Pl Ste 3a,
Detroit, MI 48202-3450
Ph: (313) 874-4806 | Derek Poley, NP-C
19850 M Gibraltar Rd,
Gibraltar, MI 48173-8701
Ph: (734) 301-3125 |
Reviews and Comments