Renae Braddy Kosha, DDS is a
Dentist based in Winterville, North Carolina. Renae Braddy Kosha is licensed to practice in North Carolina (license number 11359) and her current practice location is
915 E Fire Tower Rd Ste 100, Winterville, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(252) 689-3957.
NPI number for Renae Braddy Kosha is 1447817770 and her current mailing address is 915 E Fire Tower Rd Ste 100, Winterville, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447817770.
Healthcare Provider's Profile
| Full Name | Renae Braddy Kosha |
|---|
| Gender | Female |
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| Speciality | Dentist |
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| Location | 915 E Fire Tower Rd Ste 100, Winterville, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1447817770
- Provider Enumeration Date: 05/22/2019
- Last Update Date: 08/21/2026
Medical Identifiers
Medical identifiers for Renae Braddy Kosha such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1447817770 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223G0001X | Dentist - General Practice | 11359 (North Carolina) | Secondary |
| 122300000X | Dentist | 11359 (North Carolina) | 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. Renae Braddy Kosha 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 |
Renae Braddy Kosha, DDS 915 E Fire Tower Rd Ste 100, Winterville, NC 28590-9303 Ph: (252) 689-3957 | Renae Braddy Kosha, DDS 915 E Fire Tower Rd Ste 100, Winterville, NC 28590-9303 Ph: (252) 689-3957 |
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