Robbie Kupono Kenobi, LCSW in Santa Ana, CA - Medicare Social Worker Provider

Robbie Kupono Kenobi, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Santa Ana, California. His current practice location is 2100 N Broadway Ste 101, Santa Ana, California. You can reach out to his office (for appointments etc.) via phone at (714) 245-6881.

Robbie Kupono Kenobi is licensed to practice in California (license number 96722) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174077887.

Contact Information

	Robbie Kupono Kenobi, LCSW
	2100 N Broadway Ste 101, Santa Ana, CA 92706-2624
	(714) 245-6881
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Robbie Kupono Kenobi
Gender	Male
Speciality	Social Worker - Clinical
Location	2100 N Broadway Ste 101, Santa Ana, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174077887
Provider Enumeration Date: 08/10/2016
Last Update Date: 12/21/2023

Medicare PECOS Information:

PECOS PAC ID: 7214373935
Enrollment ID: I20240315001766

Medical Identifiers

Medical identifiers for Robbie Kupono Kenobi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174077887	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	96722 (California)	Primary

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. Robbie Kupono Kenobi allows following entities to bill medicare on his behalf.

Entity Name	Telecare Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720164882 PECOS PAC ID: 6901820380 Enrollment ID: O20070614000167

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. Robbie Kupono Kenobi 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
Robbie Kupono Kenobi, LCSW 2100 N Broadway Ste 101, Santa Ana, CA 92706-2624 Ph: (714) 245-6881	Robbie Kupono Kenobi, LCSW 2100 N Broadway Ste 101, Santa Ana, CA 92706-2624 Ph: (714) 245-6881

Reviews and Comments

Social Worker in Santa Ana, CA

Claudia Naxhielli Flores, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 525 Cabrillo Park Dr Ste 300, Santa Ana, CA 92701 Phone: 714-953-4455
Vielka Pamerleau, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 525 Cabrillo Park Dr Ste 300, Santa Ana, CA 92701 Phone: 714-953-4455
Amber Khan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1801 Park Court Pl Bldg H, Santa Ana, CA 92701 Phone: 714-957-1004
Michelle Elaine Glinski, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 W Santa Ana Blvd Ste 100, Santa Ana, CA 92701 Phone: 714-480-4637
Mayra Alejandra Hernandez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1030 W Warner Ave, Santa Ana, CA 92707 Phone: 714-957-0611
Lynn M Kleist, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3631 S Harbor Blvd Ste 200, Santa Ana, CA 92704 Phone: 657-356-6687 Fax: 657-356-6290
Sandra S Rosen, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 405 W 5th St, Suite 550, Santa Ana, CA 92701 Phone: 714-834-4707

Robbie Kupono Kenobi, LCSW - Medicare Clinical Social Worker in Santa Ana, CA