Amanda Frances Derylo, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Rio Rancho, New Mexico. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice University Of New Mexico Medical Group and her current practice location is
3001 Broadmoor Blvd Ne, Rio Rancho, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 994-7000.
Amanda Frances Derylo is licensed to practice in New Mexico (license number MD2017-0803) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1760758064.
Physician's Profile
Full Name | Amanda Frances Derylo |
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Gender | Female |
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Speciality | Diagnostic Radiology |
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Experience | 12 Years |
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Location | 3001 Broadmoor Blvd Ne, Rio Rancho, New Mexico |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Amanda Frances Derylo graduated from medical school in 2012
NPI Data:
- NPI Number: 1760758064
- Provider Enumeration Date: 03/30/2012
- Last Update Date: 10/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 7416182274
- Enrollment ID: I20180423003039
Medical Identifiers
Medical identifiers for Amanda Frances Derylo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760758064 | NPI | - | NPPES |
1760758064 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 66825 (Wisconsin) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | MD2017-0803 (New Mexico) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
University Of New Mexico Medical Group | 4981795267 | 977 |
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. Amanda Frances Derylo allows following entities to bill medicare on her behalf.
Entity Name | Unm Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589 |
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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. Amanda Frances Derylo 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 |
Amanda Frances Derylo, MD 933 Bradbury Dr Se Ste 2222, Albuquerque, NM 87106-4375 Ph: (505) 272-1111 | Amanda Frances Derylo, MD 3001 Broadmoor Blvd Ne, Rio Rancho, NM 87144-2100 Ph: (505) 994-7000 |
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