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

Robbie Kupono Kenobi, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Alameda, California. His current practice location is 1080 Marina Village Pkwy Ste 100, Alameda, California. You can reach out to his office (for appointments etc.) via phone at (510) 337-7950.

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
	1080 Marina Village Pkwy Ste 100, Alameda, CA 94501-1078
	(510) 337-7950
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Robbie Kupono Kenobi
Gender	Male
Speciality	Social Worker - Clinical
Location	1080 Marina Village Pkwy Ste 100, Alameda, 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: 11/20/2025

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 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501-1078 Ph: (510) 337-7950	Robbie Kupono Kenobi, LCSW 1080 Marina Village Pkwy Ste 100, Alameda, CA 94501-1078 Ph: (510) 337-7950

Reviews and Comments

Social Worker in Alameda, CA

Ms. Krista Coffman Arrington, LCSW LEP Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 246 Oyster Pond Rd, Alameda, CA 94502 Phone: 510-484-9082
Ms. Riva Star Gardner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2325 Clement Ave Ste A, Alameda, CA 94501 Phone: 510-629-6300
Mrs. Michelle Macarai, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1300 Hansen Ave, Alameda, CA 94501 Phone: 510-205-1243
Mr. Dan Gary Wertheimer, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1901 Shoreline Drive, Apt 303, Alameda, CA 94510 Phone: 510-995-8971
Ms. Margaret Ann Lucas, LCSW , MFT Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1429 Oak St, Alameda, CA 94501 Phone: 510-522-6554 Fax: 510-521-6729
Taura Greenfield, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 409 Taylor Ave, Alameda, CA 94501 Phone: 510-388-7600

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