Jeffrey M Bastasic, MD
Jeffrey M Bastasic, MD is a Family Practice in Menasha, Wisconsin. Graduated from Medical College of Wisconsin in 2007, 19 years ago. Practices with Ascension Medical Group-Fox Valley Wisconsin, Inc, a 260-clinician group and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 19
- Trained at
- Medical College of Wisconsin
- Licensed in
- WI
- In the registry since
- 2007
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
878 W Airport RdMenasha, WI 54952-1461
Phone: (920) 727-5982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 52366 (WI) |
|---|
Record details
| NPI number | 1164547600 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 21, 2007 |
| Last updated in NPPES | January 6, 2021 |
| Certification date | January 6, 2021 |
| Mailing address | 878 W Airport Rd, Menasha, WI 54952-1461 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | MEDICAL COLLEGE OF WISCONSIN |
| Graduated | 2007 (19 years in practice) |
| Group practice | Ascension Medical Group-Fox Valley Wisconsin, Inc — 260 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 10 on file with Medicare |
Other providers in Menasha
-
Suzanne C Bloomhuff, MD
2005 Midway Rd, Menasha, WI 54952-7002 · (920) 832-8500
-
Janine M Buffo, MD
2005 Midway Rd, Menasha, WI 54952-7002 · (920) 832-8500
-
Lawrence R Donatelle, MD
878 Airport Rd, Menasha, WI 54952-1461 · (920) 727-5982
-
Sandra Groenewold, MD
1095 Midway Rd, Menasha, WI 54952-1115 · (920) 720-2300