Christianne Supan, - Medicare Nurse Practitioner in New York, NY

Christianne Supan, is a medicare enrolled "Nurse Practitioner" in New York, New York. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Memorial Medical Consultation Group and her current practice location is 1275 York Ave, New York, New York. You can reach out to her office (for appointments etc.) via phone at (732) 735-1898.

Christianne Supan is licensed to practice in New York (license number F430802-1) 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 1225448129.

Contact Information

Christianne Supan,
1275 York Ave,
New York, NY 10065-6007
(732) 735-1898
Not Available

Map and Direction




Provider's Profile

Full NameChristianne Supan
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location1275 York Ave, New York, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Christianne Supan graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1225448129
  • Provider Enumeration Date: 04/30/2014
  • Last Update Date: 02/04/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7618194671
  • Enrollment ID: I20171025001078

Medical Identifiers

Medical identifiers for Christianne Supan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225448129NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner F430802-1 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memorial Medical Consultation Group6406755081100

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. Christianne Supan allows following entities to bill medicare on her behalf.
Entity NameMemorial Medical Consultation Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053382523
PECOS PAC ID: 6406755081
Enrollment ID: O20040102000372

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. Christianne Supan 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
Christianne Supan,
311 E 38th St, Apt 18e,
New York, NY 10016-2729

Ph: (732) 735-1898
Christianne Supan,
1275 York Ave,
New York, NY 10065-6007

Ph: (732) 735-1898

Reviews and Comments


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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.