Dr Andrew T Leebolt, DO in Lillington, NC - Medicare Emergency Medicine

Dr Andrew T Leebolt, DO is a medicare enrolled "Family Medicine" physician in Lillington, North Carolina. He went to Edward Via Col Of Osteo Medicine-virginia Campus and graduated in 2019 and has 6 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Western Virginia Regional Emergency Physicians Llc and his current practice location is 215 Brightwater Drive, Lillington, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 892-1000.

Dr Andrew T Leebolt is licensed to practice in Tennessee (license number 5357) 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 1104486885.

Contact Information

	Dr Andrew T Leebolt, DO
	215 Brightwater Drive, Lillington, NC 27546
	(910) 892-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Andrew T Leebolt
Gender	Male
Speciality	Emergency Medicine
Experience	6 Years
Location	215 Brightwater Drive, Lillington, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Andrew T Leebolt attended and graduated from Edward Via Col Of Osteo Medicine-virginia Campus in 2019

NPI Data:

NPI Number: 1104486885
Provider Enumeration Date: 06/16/2019
Last Update Date: 04/29/2025

Medicare PECOS Information:

PECOS PAC ID: 5294158523
Enrollment ID: I20240826001780

Medical Identifiers

Medical identifiers for Dr Andrew T Leebolt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104486885	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	5357 (Tennessee)	Secondary
207P00000X	Emergency Medicine	0102208637 (Virginia)	Secondary
207Q00000X	Family Medicine	0102208637 (Virginia)	Secondary
207Q00000X	Family Medicine	5357 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Smyth County Community Hospital	Marion, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Western Virginia Regional Emergency Physicians Llc	4183991227	84

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Andrew T Leebolt allows following entities to bill medicare on his behalf.

Entity Name	Western Virginia Regional Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386183028 PECOS PAC ID: 4183991227 Enrollment ID: O20170522001368

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 Andrew T Leebolt 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 Andrew T Leebolt, DO 215 Brightwater Drive, Lillington, NC 27546 Ph: (910) 892-1000	Dr Andrew T Leebolt, DO 215 Brightwater Drive, Lillington, NC 27546 Ph: (910) 892-1000

Reviews and Comments

Family Medicine Doctors in Lillington, NC

Bonnie Ann Page, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7 E Duncan St, Lillington, NC 27546 Phone: 910-814-1212
Zachary Anton Nevolo, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 Brightwater Dr, Lillington, NC 27546 Phone: 910-892-1000 Fax: 910-984-3708
Lillie Campbell, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 215 Brightwater Dr, Lillington, NC 27546 Phone: 910-892-1000
Dr. John L Briggs, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7 East Duncan St, Lillington, NC 27546 Phone: 910-893-2641 Fax: 910-893-3208
Ms. Jumoke M Ladapo-wilson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 716 North 10th Street, Lillington, NC 27546 Phone: 910-814-1212 Fax: 910-814-0303
Monique Torres, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1231 N Main St, Lillington, NC 27546 Phone: 910-474-0050 Fax: 863-228-8484
Dr. Michelle D Deblaquiere, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 716 N Tenth St., Lillington, NC 27546 Phone: 910-814-1212

Dr Andrew T Leebolt, DO - Medicare Emergency Medicine in Lillington, NC