Thitaya Chaiboonyarak, is a
Student In An Organized Health Care Education/training Program based in Boston, Massachusetts. Thitaya Chaiboonyarak is licensed to practice in Massachusetts (license number DL101029) and current practice location is
100 E Newton St, Boston, Massachusetts. can be reached at office (for appointments etc.) via phone at
(617) 358-8300.
NPI number for Thitaya Chaiboonyarak is 1003784810 and current mailing address is 405 Beacon St Apt 8, Boston, Massachusetts.
does not participate in medicare program and thus does not accept medicare assignments. NPI Number is 1003784810.
Healthcare Provider's Profile
| Full Name | Thitaya Chaiboonyarak |
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| Gender | |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 100 E Newton St, Boston, Massachusetts |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003784810
- Provider Enumeration Date: 10/24/2025
- Last Update Date: 10/24/2025
Medical Identifiers
Medical identifiers for Thitaya Chaiboonyarak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1003784810 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223G0001X | Dentist - General Practice | DL101029 (Massachusetts) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | DL101029 (Massachusetts) | 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. Thitaya Chaiboonyarak 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 |
Thitaya Chaiboonyarak, 405 Beacon St Apt 8, Boston, MA 02115-1134 Ph: (617) 358-8300 | Thitaya Chaiboonyarak, 100 E Newton St, Boston, MA 02118-3552 Ph: (617) 358-8300 |
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