| 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 | 7 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 |
|---|---|---|
| Baptist Health Medical Center-little Rock | Little rock, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dewitt Hospital And Nursing Home Inc | 2961307616 | 10 |
| 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 | 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 |