Individual provider Active NPI

Jana Marie Winberg, MD

  • Family Medicine Physician
  • Kountze, TX
National Provider Identifier
1164416285
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L4815 Issued in TX
Practice address
345 S Pine St
Kountze, TX 77625-9329
Phone
(409) 246-1014
Fax
(409) 246-1029
NPI assigned
Sep 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L4815 TX Primary

Addresses

Primary practice location

345 S Pine St
Kountze, TX 77625-9329

Mailing address

PO Box 727
Kountze, TX 77625-0727
Phone (409) 246-1014

Other identifiers 5

IdentifierTypeStateIssuer
4556334OtherTXCIGNA
1538498-03MedicaidTX
1538498-02MedicaidTX
7092365OtherTXAETNA
8P6170OtherTXBCBS

Other names 1

  • Jana Marie Wright Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040612000301 TX Practitioner - Family PracticePractitioner - Hospice/Palliative Care 6103809736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
University of New Mexico School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

345 S Pine St
Kountze Family Medicine Clinic
Kountze, TX 77625-9329
Phone (409) 246-1014

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Beaumont, TX, CCN 677137
  • Choice Health at Home Home health agency, Beaumont, TX, CCN 457852
  • At Home Hospice Hospice, Houston, TX, CCN 741696
  • Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346
  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions14
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Jana M Winberg Mdpa Family Medicine CurrentSince Sep 1, 2004 Accepting new patients
Jana M Winberg Mdpa Family Medicine Current Accepting new patients

Locations

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEAEBA/Endpoint/EEAEBA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278028800000",
    "number": "1164416285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "city": "KOUNTZE",
            "state": "TX",
            "postal_code": "776250727",
            "telephone_number": "409-246-1014",
            "fax_number": "409-246-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 S PINE ST",
            "city": "KOUNTZE",
            "state": "TX",
            "postal_code": "776259329",
            "telephone_number": "409-246-1014",
            "fax_number": "409-246-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINBERG",
        "first_name": "JANA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2010-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L4815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4556334",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538498-03",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538498-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7092365",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8P6170",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANA",
            "last_name": "WRIGHT",
            "middle_name": "MARIE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kountze, TX

Sources for this page

Verify at the official NPI Registry.