Mr Ruben Alfaro Supan, NP-C in Roswell, NM - Medicare Nurse Practitioner

Mr Ruben Alfaro Supan, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Roswell, New Mexico. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is 405 W Country Club Rd, Roswell, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 409-0831.

Mr Ruben Alfaro Supan is licensed to practice in New Mexico (license number CNP-02362) 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 1619392883.

Contact Information

	Mr Ruben Alfaro Supan, NP-C
	405 W Country Club Rd, Roswell, NM 88201-5209
	(505) 409-0831
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Ruben Alfaro Supan
Gender	Male
Speciality	Nurse Practitioner
Experience	11 Years
Location	405 W Country Club Rd, Roswell, New Mexico
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Ruben Alfaro Supan graduated from nursing school in 2013

NPI Data:

NPI Number: 1619392883
Provider Enumeration Date: 02/25/2014
Last Update Date: 10/27/2023

Medicare PECOS Information:

PECOS PAC ID: 8426271131
Enrollment ID: I20140528000654

Medical Identifiers

Medical identifiers for Mr Ruben Alfaro Supan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619392883	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	CNP02032 (New Mexico)	Secondary
363LF0000X	Nurse Practitioner - Family	CNP-02362 (New Mexico)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Eastern New Mexico Medical Center	Roswell, NM	Hospital

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. Mr Ruben Alfaro Supan allows following entities to bill medicare on his behalf.

Entity Name	Island Medical Loe Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457636706 PECOS PAC ID: 3274700323 Enrollment ID: O20120113000095

Entity Name	Island Medical Hospitalist Carlsbad Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144697129 PECOS PAC ID: 8325358039 Enrollment ID: O20151110000340

Entity Name	Island Medical Hospitalist Lea Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215307194 PECOS PAC ID: 8527368943 Enrollment ID: O20151207002531

Entity Name	Priority Medical And Health Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144956533 PECOS PAC ID: 5890169486 Enrollment ID: O20230322001396

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. Mr Ruben Alfaro 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 Address	Practice Location Address
Mr Ruben Alfaro Supan, NP-C Po Box 8244, Roswell, NM 88202-8244 Ph: (575) 624-2095	Mr Ruben Alfaro Supan, NP-C 405 W Country Club Rd, Roswell, NM 88201-5209 Ph: (505) 409-0831

Reviews and Comments

Nurse Practitioner Nurses in Roswell, NM

Dr. Krasimir M Hristov, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 E College Blvd Ste E, Roswell, NM 88201 Phone: 575-623-3155 Fax: 915-587-6324
Katherine M Thatcher, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 N Delaware Ave, Roswell, NM 88203 Phone: 575-973-8543 Fax: 575-578-1901
Mrs. Leticia Medrano, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 E 23rd St, Roswell, NM 88201 Phone: 575-625-1292 Fax: 575-624-4836
Tonia Elizabeth Montoya, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 W Hobbs St, Roswell, NM 88203 Phone: 575-623-3311 Fax: 575-622-1273
Darla Gene Melton, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 W Country Club Rd Ste 230, Roswell, NM 88201 Phone: 575-622-1411 Fax: 575-624-5630
Ms. Kimberly A Hansen, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 W Bland St, Roswell, NM 88203 Phone: 575-623-1303 Fax: 575-622-1303
Rachel M Schupp, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 W Hobbs St, Roswell, NM 88203 Phone: 575-623-3311 Fax: 575-622-1273

Mr Ruben Alfaro Supan, NP-C - Medicare Nurse Practitioner in Roswell, NM