Kathleen Rubio, is a medicare enrolled "Social Worker - Clinical" provider in Honolulu, Hawaii. Her current practice location is
1441 Kapiolani Blvd, Honolulu, Hawaii. You can reach out to her office (for appointments etc.) via phone at
(808) 432-7600.
Kathleen Rubio is licensed to practice in Hawaii (license number LCSW-4482) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629484472.
Healthcare Provider's Profile
| Full Name | Kathleen Rubio |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1441 Kapiolani Blvd, Honolulu, Hawaii |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629484472
- Provider Enumeration Date: 07/01/2014
- Last Update Date: 03/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 4880960012
- Enrollment ID: I20171214002920
Medical Identifiers
Medical identifiers for Kathleen Rubio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629484472 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | L7369 (Oregon) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-4482 (Hawaii) | 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. Kathleen Rubio allows following entities to bill medicare on her behalf.
| Entity Name | Peacehealth Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447207287
PECOS PAC ID: 9032023270
Enrollment ID: O20031113000097 |
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| Entity Name | Peacehealth |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982774378
PECOS PAC ID: 4587573001
Enrollment ID: O20031215000598 |
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| Entity Name | Peacehealth Medical Group Cottage Grove |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780631267
PECOS PAC ID: 9436060530
Enrollment ID: O20040616001333 |
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| Entity Name | Peacehealth |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1578552402
PECOS PAC ID: 4587573001
Enrollment ID: O20061104000179 |
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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. Kathleen Rubio 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 |
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Kathleen Rubio,
1441 Kapiolani Blvd,
Honolulu, HI 96814-4402
Ph: (808) 432-7600 | Kathleen Rubio,
1441 Kapiolani Blvd,
Honolulu, HI 96814-4402
Ph: (808) 432-7600 |
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