| Charles King Bibby Jr, MD | |
|
180 Crest Dr, Cimarron, CO 81220-9503 | |
| (970) 314-1303 | |
| (970) 314-1303 |
| Full Name | Charles King Bibby Jr |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 32 Years |
| Location | 180 Crest Dr, Cimarron, Colorado |
| 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 |
|---|---|---|---|
| 1174571517 | NPI | - | NPPES |
| 35924 | Other | CO | MEDICAL LICENSE # |
| 65673336 | Medicaid | CO | |
| PO1223844 | Other | AR | RAILROAD MCARE |
| 145072001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 35924 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Visita Home Healthcare | Las vegas, NV | Home health agency |
| Plains Regional Medical Center | Clovis, NM | Hospital |
| Crossridge Community Hospital | Wynne, AR | Hospital |
| Centracare - Redwood | Redwood falls, MN | Hospital |
| Rehoboth Mckinley Christian Health Care Services | Gallup, NM | Hospital |
| Roosevelt General Hospital | Portales, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fedko Emergency Physicians New Mexico, Llc | 4880934389 | 53 |
| Fep West Llc | 3375041270 | 19 |
| Hoover Emergency Physicians Llc | 0648450296 | 17 |
| Entity Name | Cibola General Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780677039 PECOS PAC ID: 7113935891 Enrollment ID: O20060323000127 |
| Entity Name | Fedko Emergency Physicians New Mexico, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770047441 PECOS PAC ID: 4880934389 Enrollment ID: O20190320001146 |
| Entity Name | Fep West LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023903499 PECOS PAC ID: 3375041270 Enrollment ID: O20250811001108 |
| 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 |