Derek Poley, NP-C - Medicare Nurse Practitioner in Trenton, MI

Derek Poley, NP-C is a medicare enrolled "Nurse Practitioner" in Trenton, 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 Premier Cardiovascular Specialists Pc and his current practice location is 5400 Fort St Ste 110, Trenton, 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.

Contact Information

Derek Poley, NP-C
5400 Fort St Ste 110,
Trenton, MI 48183-4698
(734) 301-3125
Not Available

Map and Direction




Provider's Profile

Full NameDerek Poley
GenderMale
SpecialityNurse Practitioner
Experience8 Years
Location5400 Fort St Ste 110, Trenton, Michigan
Accepts Medicare AssignmentsYes. 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: 09/12/2017
  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.
IdentifierTypeStateIssuer
1134648033NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 021315 (Ohio)Secondary
363L00000XNurse Practitioner 4704292642 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Beaumont Hospital - DearbornDearborn, MIHospital
Beaumont Hospital - TrentonTrenton, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Premier Cardiovascular Specialists Pc640690419212

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 NamePremier Cardiovascular Specialists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083854095
PECOS PAC ID: 6406904192
Enrollment ID: O20090507000304

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 AddressPractice Location Address
Derek Poley, NP-C
5563 Central Dr,
Monroe, MI 48161-3677

Ph: () -
Derek Poley, NP-C
5400 Fort St Ste 110,
Trenton, MI 48183-4698

Ph: (734) 301-3125

Reviews and Comments


Nurse Practitioner Nurses in Trenton, MI

Mrs. Latoya Ellis,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5452 Fort St Ste 200, Trenton, MI 48183
Phone: 734-642-2727    
Mr. Jerry Idiculla Chandy, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1675 Kingsway Ct Ste 1, Trenton, MI 48183
Phone: 734-676-8530    
Elizabeth Ann Davis, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5400 Fort St Ste 130, Trenton, MI 48183
Phone: 734-362-7100    Fax: 734-671-1768
Staci Damiani,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1675 Kingsway Ct, Trenton, MI 48183
Phone: 734-676-8530    Fax: 734-676-2319
Ms. Janet T Sohn, R.N. M.S. C.S. F.N.P
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 5452 Fort St Ste 200, Trenton, MI 48183
Phone: 734-642-2727    
Samreen Haroon, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3645 West Rd, Trenton, MI 48183
Phone: 734-486-4200    Fax: 734-486-4202

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.