Miranda Nicole Bacon, DO - Pediatrics in Falls Church, VA

Miranda Nicole Bacon, DO is a Pediatrics physician based in Falls Church, Virginia. Miranda Nicole Bacon is licensed to practice in Virginia (license number 0116033753) and her current practice location is 3300 Gallows Rd, Falls Church, Virginia. She can be reached at her office (for appointments etc.) via phone at (703) 776-6652.

NPI number for Miranda Nicole Bacon is 1366066169 and her current mailing address is 3300 Gallows Rd, Falls Church, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366066169.

Contact Information

Miranda Nicole Bacon, DO
3300 Gallows Rd,
Falls Church, VA 22042-3307
(703) 776-6652
Not Available



Physician's Profile

Full NameMiranda Nicole Bacon
GenderFemale
SpecialityPediatrics
Location3300 Gallows Rd, Falls Church, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1366066169
  • Provider Enumeration Date: 06/08/2020
  • Last Update Date: 06/08/2020

Medical Identifiers

Medical identifiers for Miranda Nicole Bacon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366066169NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 0116033753 (Virginia)Primary

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. Miranda Nicole Bacon 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 AddressPractice Location Address
Miranda Nicole Bacon, DO
3300 Gallows Rd,
Falls Church, VA 22042-3307

Ph: () -
Miranda Nicole Bacon, DO
3300 Gallows Rd,
Falls Church, VA 22042-3307

Ph: (703) 776-6652

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› Verified 6 days ago


Pediatrics Doctors in Falls Church, VA

Sarah Marakos, DO
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3300 Gallows Rd, Falls Church, VA 22042
Phone: 703-776-6652    
Dr. Raul A Lazarte, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3300 Gallows Rd, Falls Church, VA 22042
Phone: 703-289-1400    Fax: 703-289-1414
Dr. Tong S Park, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3300 Gallows Rd, Falls Church, VA 22042
Phone: 703-289-1400    Fax: 703-289-1414
Dr. Fegegta A Workie, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3300 Gallows Rd, Falls Church, VA 22042
Phone: 703-289-1400    Fax: 703-289-1414
Dr. Tru Van Le, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 6404 Seven Corners Pl Ste F, Falls Church, VA 22044
Phone: 703-241-5695    Fax: 703-237-9896
Dr. Bassam A. Atiyeh, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 107 N Virginia Ave, Falls Church, VA 22046
Phone: 703-532-4446    Fax: 703-532-8426
Dr. Robin Yates Dulman, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 6565 Arlington Blvd, Suite 200, Falls Church, VA 22042
Phone: 703-531-3627    Fax: 703-531-1590

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