Raul Hiedra, MD - Medicare Hospitalist in Baltimore, MD

Raul Hiedra, MD is a medicare enrolled "Hospitalist" physician in Baltimore, Maryland. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Geisinger Clinic and his current practice location is 5200 Eastern Ave Fl East2, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 550-5018.

Raul Hiedra is licensed to practice in Maryland (license number D91637) 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 1033605787.

Contact Information

Raul Hiedra, MD
5200 Eastern Ave Fl East2,
Baltimore, MD 21224-2734
(410) 550-5018
(410) 550-2972

Map and Direction




Physician's Profile

Full NameRaul Hiedra
GenderMale
SpecialityHospitalist
Experience9 Years
Location5200 Eastern Ave Fl East2, Baltimore, Maryland
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Raul Hiedra graduated from medical school in 2015
  NPI Data:
  • NPI Number: 1033605787
  • Provider Enumeration Date: 07/05/2018
  • Last Update Date: 07/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2860894664
  • Enrollment ID: I20231120000516

Medical Identifiers

Medical identifiers for Raul Hiedra such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033605787NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MT214834 (Pennsylvania)Secondary
207R00000XInternal Medicine D91637 (Maryland)Secondary
208M00000XHospitalist D91637 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Geisinger Wyoming Valley Medical CenterWilkes barre, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Geisinger Clinic53956570012841

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. Raul Hiedra allows following entities to bill medicare on his behalf.
Entity NameGeisinger Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366493868
PECOS PAC ID: 5395657001
Enrollment ID: O20040130000518

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. Raul Hiedra 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 AddressPractice Location Address
Raul Hiedra, MD
6201 Greenleigh Ave,
Middle River, MD 21220-2004

Ph: (410) 933-6423
Raul Hiedra, MD
5200 Eastern Ave Fl East2,
Baltimore, MD 21224-2734

Ph: (410) 550-5018

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.