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

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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 12 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 may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for 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 NameMr Ruben Alfaro Supan
GenderMale
SpecialityNurse Practitioner
Experience12 Years
Location405 W Country Club Rd, Roswell, New Mexico
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for 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.
IdentifierTypeStateIssuer
1619392883NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health CNP02032 (New Mexico)Secondary
363LF0000XNurse Practitioner - Family CNP-02362 (New Mexico)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Eastern New Mexico Medical CenterRoswell, NMHospital

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 NameState Of New Mexico
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578730230
PECOS PAC ID: 1052210689
Enrollment ID: O20110118000115
Entity NameIsland Medical Loe Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457636706
PECOS PAC ID: 3274700323
Enrollment ID: O20120113000095
Entity NameRuben A Supan Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053802892
PECOS PAC ID: 5193078921
Enrollment ID: O20181025000311
Entity NamePriority Medical And Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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


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Dr. Krasimir M Hristov, CNP
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Kafayat Olateju Popoola, PMHNP-BC
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Practice Location: 207 N Union Ave Ste E, Roswell, NM 88201
Phone: 575-363-3189    Fax: 575-363-3188
Ms. Kimberly A Hansen, CNP
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Practice Location: 109 W Bland St, Roswell, NM 88203
Phone: 575-623-1303    Fax: 575-622-1303

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).

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