Kenyetta N Broughton-floyd, - Counselor in Park Forest, IL

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Kenyetta N Broughton-floyd, is a Developmental Therapist based in Park Forest, Illinois. Kenyetta N Broughton-floyd is licensed to practice in Illinois (license number KB52980401P) and her current practice location is 201 Lester Rd, Park Forest, Illinois. She can be reached at her office (for appointments etc.) via phone at (312) 238-9128.

NPI number for Kenyetta N Broughton-floyd is 1104030139 and her current mailing address is Po Box 992, Park Forest, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104030139.

Contact Information

Kenyetta N Broughton-floyd,
201 Lester Rd,
Park Forest, IL 60466-2013
(312) 238-9128
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameKenyetta N Broughton-floyd
GenderFemale
SpecialityDevelopmental Therapist
Location201 Lester Rd, Park Forest, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104030139
  • Provider Enumeration Date: 05/09/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Kenyetta N Broughton-floyd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104030139NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YS0200XCounselor - School (* (Not Available))Primary
222Q00000XDevelopmental Therapist KB52980401P (Illinois)Primary

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 N Broughton-floyd is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenyetta N Broughton-floyd,
Po Box 992,
Park Forest, IL 60466-0992

Ph: (312) 238-9128		Kenyetta N Broughton-floyd,
201 Lester Rd,
Park Forest, IL 60466-2013

Ph: (312) 238-9128

Reviews and Comments


Developmental Therapist in Park Forest, IL


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.