| Jeffrey M Bastasic, MD | |
|
878 W Airport Rd, Menasha, WI 54952-1461 | |
| (920) 727-5982 | |
| Not Available |
| Full Name | Jeffrey M Bastasic |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 18 Years |
| Location | 878 W Airport Rd, Menasha, Wisconsin |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164547600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 52366 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Ne Wisconsin - St Elizabeth Campus | Appleton, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Medical Group-fox Valley Wisconsin Inc | 0244142420 | 256 |
| Entity Name | Ascension Medical Group-fox Valley Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730126392 PECOS PAC ID: 0244142420 Enrollment ID: O20031105000351 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey M Bastasic, MD 878 W Airport Rd, Menasha, WI 54952-1461 Ph: (920) 727-5982 | Jeffrey M Bastasic, MD 878 W Airport Rd, Menasha, WI 54952-1461 Ph: (920) 727-5982 |
Nathan C Grunwald, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2005 Midway Rd, Menasha, WI 54952 Phone: 920-832-8500 | |
Suzanne C Bloomhuff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2005 Midway Rd, Menasha, WI 54952 Phone: 920-832-8500 | |
Bryan Roberts, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2005 Midway Rd, Menasha, WI 54952 Phone: 920-832-8500 Fax: 920-380-4840 | |
Gunmeet Kaur Kaleka, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2005 Midway Rd, Menasha, WI 54952 Phone: 920-832-8500 Fax: 920-993-2919 | |
John R Barkmeier, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2005 Midway Rd, Menasha, WI 54952 Phone: 920-832-8500 | |
Gary Mark Heifner, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 878 Airport Rd, Menasha, WI 54952 Phone: 920-727-5982 |