Charles King Bibby Jr, MD is a medicare enrolled "Emergency Medicine" physician in Cimarron, Colorado. He graduated from medical school in 1994 and has 32 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Fedko Emergency Physicians New Mexico, Llc, Fep West Llc, Hoover Emergency Physicians Llc and his current practice location is
180 Crest Dr, Cimarron, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 314-1303.
Charles King Bibby Jr is licensed to practice in Colorado (license number 35924) 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 1174571517.
Physician's Profile
| Full Name | Charles King Bibby Jr |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 32 Years |
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| Location | 180 Crest Dr, Cimarron, Colorado |
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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:
- Charles King Bibby Jr graduated from medical school in 1994
NPI Data:
- NPI Number: 1174571517
- Provider Enumeration Date: 05/05/2006
- Last Update Date: 07/01/2026
Medicare PECOS Information:
- PECOS PAC ID: 3476544545
- Enrollment ID: I20160513000818
Medical Identifiers
Medical identifiers for Charles King Bibby Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174571517 | NPI | - | NPPES |
| 35924 | Other | CO | MEDICAL LICENSE # |
| PO1223844 | Other | AR | RAILROAD MCARE |
| 145072001 | Medicaid | AR | |
| 65673336 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 35924 (Colorado) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Fedko Emergency Physicians New Mexico, Llc | 4880934389 | 54 |
| Fep West Llc | 3375041270 | 19 |
| Hoover Emergency Physicians Llc | 0648450296 | 17 |
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. Charles King Bibby Jr allows following entities to bill medicare on his behalf.
| Entity Name | Cibola General Hospital Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780677039
PECOS PAC ID: 7113935891
Enrollment ID: O20060323000127 |
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| Entity Name | Fedko Emergency Physicians New Mexico, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770047441
PECOS PAC ID: 4880934389
Enrollment ID: O20190320001146 |
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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. Charles King Bibby Jr 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 |
|---|
Charles King Bibby Jr, MD
180 Crest Dr,
Cimarron, CO 81220-9503
Ph: (970) 314-1303 | Charles King Bibby Jr, MD
180 Crest Dr,
Cimarron, CO 81220-9503
Ph: (970) 314-1303 |
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