Kenyetta Booker, is a medicare enrolled "Speech-language Pathologist" provider in Winnfield, Louisiana. 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 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 1558107714.
Healthcare Provider's Profile
Full Name | Kenyetta Booker |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 1666 Highway 156, Winnfield, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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: I20240830002149
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 |
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. Kenyetta Booker allows following entities to bill medicare on her behalf.
Provider Name | Synergy Care Southeast Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1891156055 PECOS PAC ID: 6204079163 Enrollment ID: O20160722001624 |
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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. 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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