Kenyetta Booker, is a medicare enrolled "Speech-language Pathologist" provider in Winnfield, Louisiana. She graduated from medical school in 2014 and has 11 years of diverse experience with area of expertise as Qualified Speech Language Pathologist. She is a member of the group practice Aegis Group Practice Llc and her current practice location is
1666 Highway 156, Winnfield, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(318) 302-9192.
Kenyetta Booker is licensed to practice in Louisiana (license number 7127) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1558107714.
Healthcare Provider's Profile
| Full Name | Kenyetta Booker |
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| Gender | Female |
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| Speciality | Qualified Speech Language Pathologist |
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| Experience | 11 Years |
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| Location | 1666 Highway 156, Winnfield, Louisiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kenyetta Booker graduated from medical school in 2014
NPI Data:
- NPI Number: 1558107714
- Provider Enumeration Date: 07/06/2024
- Last Update Date: 05/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 2860931078
- Enrollment ID: I20250626001415
Medical Identifiers
Medical identifiers for Kenyetta Booker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1558107714 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | 7127 (Louisiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Aegis Group Practice Llc | 5193036432 | 295 |
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. Kenyetta Booker 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 |
Kenyetta Booker, 1666 Highway 156, Winnfield, LA 71483-5070 Ph: () - | Kenyetta Booker, 1666 Highway 156, Winnfield, LA 71483-5070 Ph: (318) 302-9192 |
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