Jomarc Dasalla, is a
Student In An Organized Health Care Education/training Program based in Boston, Massachusetts. Jomarc Dasalla is licensed to practice in * (Not Available) (license number ) and his current practice location is
1 Kneeland St # 1005, Boston, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(617) 636-6828.
NPI number for Jomarc Dasalla is 1558106922 and his current mailing address is 91-1018 Kaiau Ave # 1b, Kapolei, Hawaii. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558106922.
Healthcare Provider's Profile
| Full Name | Jomarc Dasalla |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1 Kneeland St # 1005, Boston, Massachusetts |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558106922
- Provider Enumeration Date: 06/27/2024
- Last Update Date: 05/28/2026
Medical Identifiers
Medical identifiers for Jomarc Dasalla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558106922 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DT-3304 (Hawaii) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Jomarc Dasalla 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 Address | Practice Location Address |
|---|
Jomarc Dasalla,
91-1018 Kaiau Ave # 1b,
Kapolei, HI 96707-1986
Ph: (907) 738-5638 | Jomarc Dasalla,
1 Kneeland St # 1005,
Boston, MA 02111-1527
Ph: (617) 636-6828 |
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