Marisa Leigh Derrick, CRNA - Medicare Nurse Anesthetist, Certified Registered in Detroit, MI

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Marisa Leigh Derrick, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Detroit, Michigan. Her current practice location is 22101 Moross Rd, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 343-4000.

Marisa Leigh Derrick is licensed to practice in Michigan (license number 4704296535) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255802765.

Contact Information

Marisa Leigh Derrick, CRNA
22101 Moross Rd,
Detroit, MI 48236-2172
(313) 343-4000
Not Available

Map and Direction




Provider's Profile

Full NameMarisa Leigh Derrick
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location22101 Moross Rd, Detroit, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255802765
  • Provider Enumeration Date: 12/10/2018
  • Last Update Date: 12/10/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2860730256
  • Enrollment ID: I20190211000308

Medical Identifiers

Medical identifiers for Marisa Leigh Derrick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255802765NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 4704296535 (Michigan)Secondary
367500000XNurse Anesthetist, Certified Registered 4704296535 (Michigan)Primary

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. Marisa Leigh Derrick allows following entities to bill medicare on her behalf.
Entity NameAscension St John Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598896995
PECOS PAC ID: 3173424082
Enrollment ID: O20040130000407

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. Marisa Leigh Derrick 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
Marisa Leigh Derrick, CRNA
3968 Cloverlane Dr,
Ypsilanti, MI 48197-5059

Ph: (734) 752-5629		Marisa Leigh Derrick, CRNA
22101 Moross Rd,
Detroit, MI 48236-2172

Ph: (313) 343-4000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Detroit, MI

Kimberly Dawn Harris, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3990 John R St, Detroit, MI 48201
Phone: 313-745-8521    
Caroline L Talbert, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3990 John R St, Detroit, MI 48201
Phone: 313-745-7600    Fax: 952-442-3620
Kyle Krupa,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-2600    
Lisa Zetuna,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-2600    
Kurt Belen, RN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 10814 Duprey St, Detroit, MI 48224
Phone: 313-410-1988    
Dr. Timothy Turner, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-8078    
Ms. Laura Lynn Rivera, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2799 W Grand Blvd, Detroit, MI 48202
Phone: 313-916-2600    

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.