| Kountze Family Medicine Clinic | |
|
345 S Pine St Kountze TX 77625-9329 | |
| (409) 246-1014 | |
| (409) 246-1029 |
| Full Name | Kountze Family Medicine Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 345 S Pine St, Kountze, Texas |
| Authorized Official Name and Position | Jana Marie Winberg (PRESIDENT) |
| Authorized Official Contact | 4092461014 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kountze Family Medicine Clinic Po Box 727 Kountze TX 77625-0727 Ph: (409) 246-1014 | Kountze Family Medicine Clinic 345 S Pine St Kountze TX 77625-9329 Ph: (409) 246-1014 |
| NPI Number | 1962696757 |
|---|---|
| Provider Enumeration Date | 09/05/2007 |
| Last Update Date | 07/02/2010 |
| Medicare PECOS PAC ID | 2264494368 |
|---|---|
| Medicare Enrollment ID | O20041101000804 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962696757 | NPI | - | NPPES |
| 1696619-03 | Other | MCD GROUP JEFF |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L4815 (Texas) | Primary |
| Provider Name | Jana Marie Winberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164416285 PECOS PAC ID: 6103809736 Enrollment ID: I20040612000301 |
| Provider Name | Missy J Rigmaiden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508108747 PECOS PAC ID: 0446491625 Enrollment ID: I20130731000230 |
Kountze Family Medicine Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 S Pine St, Kountze, TX 77625 Phone: 409-246-1014 Fax: 409-246-1029 |