MR. PATRICK CORKREAN BONASSO II
NPI 1164765830
Surgery - Pediatric Surgery in Morgantown, WV

Active since April 01, 2013PECOS Enrolled
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506(855) 988-2273 Get Directions Write a Review

NPPES record last updated: December 10, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Patrick Corkrean Bonasso Ii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PATRICK CORKREAN BONASSO II (NPI 1164765830) is an individual pediatric surgery provider in Morgantown, West Virginia, licensed in West Virginia (26258) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164765830
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameMR. PATRICK CORKREAN BONASSO II
Location Address1 MEDICAL CENTER DRMorgantown, WV 26506-1200
Mailing AddressPo Box 780Morgantown, WV 26507-0780 · (304) 285-7101
Sole ProprietorYes
Enumeration DateApril 1, 2013
Last NPPES UpdateDecember 10, 2022
NPPES CertifiedDecember 10, 2022
✔ NPI 1164765830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in WV · 26258
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
1 MEDICAL CENTER DR, Morgantown, WV 26506

Other Identifiers 2

Medicaid229327700MD
Medicaid1164765830WV

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Patrick Corkrean Bonasso Ii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Patrick Bonasso reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
1 MEDICAL CENTER DRIVE
Morgantown, WV 26506
  • Reassigned Medicare billing, West Virginia enrollment
  • 2,471 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Neuroradiology)
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Nurse Practitioner (Pediatrics, Critical Care)
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Internal Medicine
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Nurse Practitioner
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Speech-Language Pathologist
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Nurse Practitioner (Family)
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506
Pharmacist
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patrick Bonasso's NPI number?

The NPI number for Patrick Bonasso is 1164765830. It was assigned to this individual provider in the NPPES registry on April 1, 2013.

Where is Patrick Bonasso located?

Patrick Bonasso practices at 1 Medical Center Dr, Morgantown, WV 26506. The listed phone number is (855) 988-2273.

What is Patrick Bonasso's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Patrick Bonasso enrolled in Medicare?

Yes. Patrick Bonasso is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Patrick Bonasso's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Bonasso reassigns Medicare benefits to West Virginia University Medical Corporation (Morgantown, WV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patrick Bonasso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patrick Bonasso accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Highmark Blue Cross Blue Shield West Virginia list Patrick Bonasso as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Patrick Bonasso was last updated on December 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.