Hayden Leibrock, MD | |
1641 S Whitehead Dr, De Witt, AR 72042-2994 | |
(870) 946-3571 | |
Not Available |
Full Name | Hayden Leibrock |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 6 Years |
Location | 1641 S Whitehead Dr, De Witt, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043878051 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | E-14790 (Arkansas) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Dewitt Hospital & Nursing Home, Inc | De witt, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dewitt Hospital And Nursing Home Inc | 2961307616 | 6 |
Entity Name | Dewitt Hospital & Nursing Home Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972586238 PECOS PAC ID: 2961307616 Enrollment ID: O20040505001357 |
Entity Name | Dewitt Hospital & Nursing Home Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1972586238 PECOS PAC ID: 2961307616 Enrollment ID: O20070621000452 |
Entity Name | Emergency Staffing Solutions Region Iii |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689967895 PECOS PAC ID: 3375721707 Enrollment ID: O20110706000473 |
Entity Name | Hcc Of Magnolia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831865872 PECOS PAC ID: 3779980750 Enrollment ID: O20210917000064 |
Mailing Address | Practice Location Address |
---|---|
Hayden Leibrock, MD 1641 S Whitehead Dr, De Witt, AR 72042-2994 Ph: () - | Hayden Leibrock, MD 1641 S Whitehead Dr, De Witt, AR 72042-2994 Ph: (870) 946-3571 |
Dr. Wallace Lee Tracy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1940 S Whitehead Dr, De Witt, AR 72042 Phone: 870-946-4505 Fax: 870-946-2428 |