Derek Poley, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Gibraltar, Michigan. 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 |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 19850 M Gibraltar Rd, Gibraltar, Michigan |
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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:
- Derek Poley attended and graduated from in
NPI Data:
- NPI Number: 1134648033
- Provider Enumeration Date: 09/12/2017
- Last Update Date: 12/22/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Derek Poley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134648033 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 021315 (Ohio) | Secondary |
| 363L00000X | Nurse Practitioner | 4704292642 (Michigan) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4704292642 (Michigan) | 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. 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 |
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