Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mia Isabella Bonasso, PA-C

Individual provider Physician Assistant · NPI 1255036281

Mia Isabella Bonasso, PA-C is a Physician Assistant in Bridgeport, West Virginia. Qualified in 2022, 4 years ago. Practices with United Hospital Center Inc, a 291-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania and West Virginia.

Years since qualifying
4
Licensed in
PA, WV
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

135 Professional Pl
Bridgeport, WV 26330-4509
Phone: (681) 342-3660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA064426 (PA)
Physician Assistant Taxonomy 363A00000X · Licence 2721 (WV)

Record details

NPI number1255036281
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 31, 2023
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice United Hospital Center Inc — 291 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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