Luisa Bastian, is a
Pain Medicine - Pain Medicine physician based in Waukesha, Wisconsin. Luisa Bastian is licensed to practice in Wisconsin (license number 85342-20) and her current practice location is N14w23800 Stone Ridge Dr Ste 120, Waukesha, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 204-6758.
NPI number for Luisa Bastian is 1942881107 and her current mailing address is 7703 Floyd Curl Dr, San Antonio, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942881107.
Physician's Profile
| Full Name | Luisa Bastian |
|---|
| Gender | Female |
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| Speciality | Pain Medicine - Pain Medicine |
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| Location | N14w23800 Stone Ridge Dr Ste 120, Waukesha, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1942881107
- Provider Enumeration Date: 04/19/2021
- Last Update Date: 06/23/2026
Medical Identifiers
Medical identifiers for Luisa Bastian such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942881107 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208VP0000X | Pain Medicine - Pain Medicine | 85342-20 (Wisconsin) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | BP10074271 (Texas) | Secondary |
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. Luisa Bastian 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 Address | Practice Location Address |
|---|
Luisa Bastian,
7703 Floyd Curl Dr,
San Antonio, TX 78229-3901
Ph: () - | Luisa Bastian,
N14w23800 Stone Ridge Dr Ste 120,
Waukesha, WI 53188-1144
Ph: (920) 204-6758 |
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