Dr Rodderrick Preacher, CRNA is a
Nurse Anesthetist, Certified Registered based in Waxhaw, North Carolina. Dr Rodderrick Preacher is licensed to practice in South Carolina (license number 30912) and his current practice location is
2022 Napa Valley Dr, Waxhaw, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(980) 939-9479.
NPI number for Dr Rodderrick Preacher is 1154018703 and his current mailing address is 2022 Napa Valley Dr, Waxhaw, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154018703.
Provider's Profile
| Full Name | Dr Rodderrick Preacher |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Anesthetist, Certified Registered |
|---|
| Location | 2022 Napa Valley Dr, Waxhaw, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1154018703
- Provider Enumeration Date: 04/21/2023
- Last Update Date: 08/28/2025
Medical Identifiers
Medical identifiers for Dr Rodderrick Preacher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1154018703 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 283158 (North Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 8011 (North Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 30912 (South 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 Rodderrick Preacher 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 Rodderrick Preacher, CRNA 2022 Napa Valley Dr, Waxhaw, NC 28173-0319 Ph: (980) 939-9479 | Dr Rodderrick Preacher, CRNA 2022 Napa Valley Dr, Waxhaw, NC 28173-0319 Ph: (980) 939-9479 |
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