Raven Simone Johnson, MD in Baltimore, MD

Raven Simone Johnson, MD is a medicare enrolled "Anesthesiology" physician in Baltimore, Maryland. Her current practice location is 1800 Orleans St, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 955-7615.

Raven Simone Johnson is licensed to practice in Maryland (license number D96164) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164983334.

Contact Information

	Raven Simone Johnson, MD
	1800 Orleans St, Baltimore, MD 21287-0010
	(410) 955-7615
	Not Available

Map and Direction

Physician's Profile

Full Name	Raven Simone Johnson
Gender	Female
Speciality	Anesthesiology
Location	1800 Orleans St, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164983334
Provider Enumeration Date: 03/28/2019
Last Update Date: 11/20/2023

Medicare PECOS Information:

PECOS PAC ID: 4587089792
Enrollment ID: I20230905002274

Medical Identifiers

Medical identifiers for Raven Simone Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164983334	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207LC0200X	Anesthesiology - Critical Care Medicine	D96164 (Maryland)	Secondary
207L00000X	Anesthesiology	D96164 (Maryland)	Primary

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. Raven Simone Johnson allows following entities to bill medicare on her behalf.

Entity Name	Johns Hopkins University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719

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. Raven Simone Johnson 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
Raven Simone Johnson, MD 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (410) 933-6423	Raven Simone Johnson, MD 1800 Orleans St, Baltimore, MD 21287-0010 Ph: (410) 955-7615

Reviews and Comments

Anesthesiology Doctors in Baltimore, MD

Kathryn Rosenblatt, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1800 Orleans St, Baltimore, MD 21287 Phone: 410-955-7461 Fax: 410-614-7903
Dr. Tiffani Danielle Pittman, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5601 Loch Raven Blvd, Baltimore, MD 21239 Phone: 443-444-4863 Fax: 443-444-4997
Aaron Sachs, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 22 S Greene St # S11c, University Of Maryland Department Of Anesthesia, Baltimore, MD 21201 Phone: 410-328-1239
Lynette Mark, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 N Wolfe St, Baltimore, MD 21287 Phone: 410-955-6353
Charles Lin, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 900 Canton Ave, Baltimore, MD 21229 Phone: 410-368-3045 Fax: 410-951-4009
Dr. Jasjit B Atwal, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 110 S Paca St, Suite 300 6th Fl, Baltimore, MD 21201 Phone: 410-328-6720 Fax: 410-328-1674
Dr. Gerard Limerick, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 N Wolfe Street, Nelson 2-131, Baltimore, MD 21287 Phone: 410-955-1818 Fax: 410-502-0541

Raven Simone Johnson, MD - Medicare Anesthesiology in Baltimore, MD