Dr Renae Braddy Kosha, DDS is a
Dentist based in Maury, North Carolina. Dr Renae Braddy Kosha is licensed to practice in North Carolina (license number 11359) and her current practice location is
2821 Nc-903 #093, Maury, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(252) 653-5765.
NPI number for Dr Renae Braddy Kosha is 1447817770 and her current mailing address is 103 Mimosa Park Dr, Goldsboro, 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 | Dr Renae Braddy Kosha |
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Gender | Female |
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Speciality | Dentist |
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Location | 2821 Nc-903 #093, Maury, 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: 06/06/2024
Medical Identifiers
Medical identifiers for Dr 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. Dr 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 |
Dr Renae Braddy Kosha, DDS 103 Mimosa Park Dr, Goldsboro, NC 27534-3225 Ph: (252) 945-8781 | Dr Renae Braddy Kosha, DDS 2821 Nc-903 #093, Maury, NC 28554 Ph: (252) 653-5765 |
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