Dr Miranda Van Blarcum, DC RD is a medicare enrolled "Dietitian, Registered" provider in Austin, Texas. She graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Chiropractic. She is a member of the group practice Natasha T Bonner Dc Pllc and her current practice location is
2105 E Mlk Blvd # 111, Austin, Texas. You can reach out to her office (for appointments etc.) via phone at
(512) 309-1650.
Dr Miranda Van Blarcum is licensed to practice in Texas (license number DT92549) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1134519127.
Healthcare Provider's Profile
| Full Name | Dr Miranda Van Blarcum |
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| Gender | Female |
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| Speciality | Chiropractic |
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| Experience | 12 Years |
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| Location | 2105 E Mlk Blvd # 111, Austin, Texas |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Miranda Van Blarcum graduated from medical school in 2014
NPI Data:
- NPI Number: 1134519127
- Provider Enumeration Date: 01/28/2015
- Last Update Date: 11/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 7214264530
- Enrollment ID: I20190809000321
Medical Identifiers
Medical identifiers for Dr Miranda Van Blarcum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134519127 | NPI | - | NPPES |
| 13538 | Other | TX | TEXAS BOARD OF CHIROPRACTIC EXAMINERS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 13538 (Texas) | Secondary |
| 133V00000X | Dietitian, Registered | DT92549 (Texas) | Primary |
| 111N00000X | Chiropractor | 0104-557227 (Virginia) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Natasha T Bonner Dc Pllc | 1153571310 | 3 |
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. Dr Miranda Van Blarcum is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Miranda Van Blarcum, DC RD
2105 E Mlk Blvd # 111,
Austin, TX 78702-1341
Ph: () - | Dr Miranda Van Blarcum, DC RD
2105 E Mlk Blvd # 111,
Austin, TX 78702-1341
Ph: (512) 309-1650 |
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