Dr Rodderrick Preacher, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Waxhaw, North Carolina. He graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Paragon Anesthesia Pc, Anesthesia Associates Of Rock Hill Pa and his current practice location is
2022 Napa Valley Dr, Waxhaw, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(980) 939-9479.
Dr Rodderrick Preacher is licensed to practice in South Carolina (license number 30912) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154018703.
Provider's Profile
| Full Name | Dr Rodderrick Preacher |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 1 Years |
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| Location | 2022 Napa Valley Dr, Waxhaw, North Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Rodderrick Preacher graduated from nursing school in 2025
NPI Data:
- NPI Number: 1154018703
- Provider Enumeration Date: 04/21/2023
- Last Update Date: 11/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 7315439742
- Enrollment ID: I20260416000162
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 |
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| 367500000X | Nurse Anesthetist, Certified Registered | 8011 (North Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 30912 (South Carolina) | Primary |
| 163W00000X | Registered Nurse | 283158 (North Carolina) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Paragon Anesthesia Pc | 8921044744 | 215 |
| Anesthesia Associates Of Rock Hill Pa | 6305740259 | 56 |
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
enrolled with medicare and thus, if eligible, can 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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