Amanda Frances Derylo, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Rio Rancho, New Mexico. 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 | |
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Experience | 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 attended and graduated from in
NPI Data:
- NPI Number: 1760758064
- Provider Enumeration Date: 03/30/2012
- Last Update Date: 02/02/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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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