Hayden Leibrock, MD is a medicare enrolled "Family Medicine" physician in De Witt, Arkansas. He graduated from medical school in 2019 and has 6 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Dewitt Hospital And Nursing Home Inc and his current practice location is
1641 S Whitehead Dr, De Witt, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 946-3571.
Hayden Leibrock is licensed to practice in Arkansas (license number E-14790) 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 1043878051.
Physician's Profile
| Full Name | Hayden Leibrock |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 6 Years |
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| Location | 1641 S Whitehead Dr, De Witt, Arkansas |
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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. |
Medical Education and Training:
- Hayden Leibrock graduated from medical school in 2019
NPI Data:
- NPI Number: 1043878051
- Provider Enumeration Date: 06/04/2019
- Last Update Date: 07/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 0749510220
- Enrollment ID: I20211115000939
Medical Identifiers
Medical identifiers for Hayden Leibrock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1043878051 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| 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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Dewitt Hospital And Nursing Home Inc | 2961307616 | 10 |
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. Hayden Leibrock allows following entities to bill medicare on his behalf.
| Entity Name | Dewitt Hospital & Nursing Home Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972586238 PECOS PAC ID: 2961307616 Enrollment ID: O20040505001357 |
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| Entity Name | Emergency Staffing Solutions Region Iii |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689967895 PECOS PAC ID: 3375721707 Enrollment ID: O20110706000473 |
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| Entity Name | Hcc Of Magnolia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831865872 PECOS PAC ID: 3779980750 Enrollment ID: O20210917000064 |
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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. Hayden Leibrock 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 |
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 |
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