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

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Raven Simone Johnson, MD is a medicare enrolled "Anesthesiology" physician in Baltimore, Maryland. She graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Anesthesiology. She is a member of the group practice Wellspan Medical Group, Evangelical Medical Services Organization, Johns Hopkins University and 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 may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and 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 NameRaven Simone Johnson
GenderFemale
SpecialityAnesthesiology
Experience7 Years
Location1800 Orleans St, Baltimore, Maryland
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Raven Simone Johnson graduated from medical school in 2019
  NPI Data:
  • NPI Number: 1164983334
  • Provider Enumeration Date: 03/28/2019
  • Last Update Date: 08/22/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4587089792
  • Enrollment ID: I20250830000790

Medical Identifiers

Medical identifiers for Raven Simone Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164983334NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology D96164 (Maryland)Primary
207L00000XAnesthesiology MD491237C (Pennsylvania)Secondary
207LC0200XAnesthesiology - Critical Care Medicine D96164 (Maryland)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellspan Evangelical Community HospitalLewisburg, PAHospital
Johns Hopkins Bayview Medical CenterBaltimore, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wellspan Medical Group19512131152438
Evangelical Medical Services Organization9133033087255
Johns Hopkins University89219031472886

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 NameWellspan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669770004
PECOS PAC ID: 1951213115
Enrollment ID: O20040220000815
Entity NameEvangelical Medical Services Organization
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205928967
PECOS PAC ID: 9133033087
Enrollment ID: O20040310000212

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 AddressPractice 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: May Accept 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
Elizabeth Minh-ann Pham, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 2401 W Belvedere Ave, Baltimore, MD 21215
Phone: 804-898-0825    
Mark Dean Waguespack, MD
Anesthesiology
Medicare: Not Enrolled in Medicare
Practice Location: 9000 Franklin Square Dr, Baltimore, MD 21237
Phone: 443-777-7179    Fax: 443-777-8242
Bruce Robert Gibson, M.D.
Anesthesiology
Medicare: Accepting Medicare Assignments
Practice Location: 4940 Eastern Ave, Baltimore, MD 21224
Phone: 410-550-0100    
Lynette Mark, M.D.
Anesthesiology
Medicare: May Accept 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

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.