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Provider profile

Philip Elbaum

Internal Medicine, Gastroenterology

NPI 1235484031
1011 Reed Ave Ste 300, Wyomissing, PA 19610610-374-4401

2027 Medicare Advantage

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Medicare Advantage plans for Berks County, PA.

Checked Oct 24, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

Listed on 81 Medicare Advantage plans for 2027

Carrier directories and Medicare.gov provider data list Philip on these plans. Review each plan's covered offices before enrolling. One directory didn't answer this time; we'll try it again.

The 103 Medicare Advantage plans we show for Berks County, PA in 2027

  • 81 list Philip
  • 13 not listed
  • 9 not checked yet

Capital Blue Cross · Highmark Blue Cross Blue Shield or Highmark Blue Shield

12 plans list Philip.

12plans

  • Capital Blue Cross Essential (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Wyomissing, PA, 19610
    • 2610 Keiser Blvd, Wyomissing, PA, 19610
    • 1320 Broadcasting Rd, Ste 100, Wyomissing, PA, 19610
    • 301 S 7th Ave, Ste 2020, Reading, PA, 19611
    • 420 S 5th Ave, West Reading, PA, 19611
    • 2605 Keiser Blvd, Fl 2, Wyomissing, PA, 19610
    • 2500 Bernville Rd, Reading, PA, 19605

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH3962-022-003Medicare.gov
    $0a month

  • Capital Blue Cross Select (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Wyomissing, PA, 19610
    • 2610 Keiser Blvd, Wyomissing, PA, 19610
    • 1320 Broadcasting Rd, Ste 100, Wyomissing, PA, 19610
    • 301 S 7th Ave, Ste 2020, Reading, PA, 19611
    • 420 S 5th Ave, West Reading, PA, 19611
    • 2605 Keiser Blvd, Fl 2, Wyomissing, PA, 19610
    • 2500 Bernville Rd, Reading, PA, 19605

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH3923-044-003Medicare.gov
    $0a month

  • Capital Blue Cross Value (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Wyomissing, PA, 19610
    • 2610 Keiser Blvd, Wyomissing, PA, 19610
    • 1320 Broadcasting Rd, Ste 100, Wyomissing, PA, 19610
    • 301 S 7th Ave, Ste 2020, Reading, PA, 19611
    • 420 S 5th Ave, West Reading, PA, 19611
    • 2605 Keiser Blvd, Fl 2, Wyomissing, PA, 19610
    • 2500 Bernville Rd, Reading, PA, 19605

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH3923-045-003Medicare.gov
    $0a month

  • Community Blue Medicare HMO Signature (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Wyomissing, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4.5 starsH3957-042-004Medicare.gov
    $0a month

8 more Capital Blue Cross plans haven't been checked yet.

UnitedHealthcare

12 plans list Philip.

12plans

  • AARP Medicare Advantage from UHC PA-0002 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Reading, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4 starsH5253-146-000Medicare.gov
    $0a month

  • AARP Medicare Advantage from UHC PA-0011 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Reading, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH2406-072-000Medicare.gov
    $0a month

  • AARP Medicare Advantage Giveback from UHC PA-12 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Reading, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH2406-101-000Medicare.gov
    $0a month

  • AARP Medicare Advantage Patriot No Rx PA-MA01 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Reading, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage4 starsH5253-152-000Medicare.gov
    $0a month

Aetna Medicare

11 plans list Philip.

11plans

  • Aetna Medicare Advantra Eagle Plus (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Wyomissing, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage3.5 starsH3959-041-000Medicare.gov
    $0a month

  • Aetna Medicare Advantra Signature (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Wyomissing, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH5522-004-000Medicare.gov
    $0a month

  • Aetna Medicare Advantra Signature Giveback (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Wyomissing, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH5522-017-000Medicare.gov
    $0a month

  • Aetna Medicare Signature Extra (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Wyomissing, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5521-263-000Medicare.gov
    $0a month

Devoted

10 plans list Philip.

10plans

  • DEVOTED CHOICE 007 PA (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Wyomissing, PA, 19610
    • 1011 Reed Ave, Ste 600, Wyomissing, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH6018-007-000Medicare.gov
    $0a month

  • DEVOTED CHOICE GIVEBACK 003 PA (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Wyomissing, PA, 19610
    • 1011 Reed Ave, Ste 600, Wyomissing, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH6018-003-000Medicare.gov
    $0a month

  • DEVOTED CORE 008 PA (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Wyomissing, PA, 19610
    • 1011 Reed Ave, Ste 600, Wyomissing, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH6852-008-000Medicare.gov
    $0a month

  • DEVOTED GIVEBACK 009 PA (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Wyomissing, PA, 19610
    • 1011 Reed Ave, Ste 600, Wyomissing, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3.5 starsH6852-009-000Medicare.gov
    $0a month

Geisinger Gold

8 plans list Philip.

8plans

  • Geisinger Gold Classic Essential Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Wyomissing, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH3954-161-000Medicare.gov
    $0a month

  • Geisinger Gold Heritage (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Wyomissing, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    HMONo drug coverage4 starsH3954-162-000Medicare.gov
    $0a month

  • Geisinger Gold Preferred Complete Rx (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Wyomissing, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH3924-065-000Medicare.gov
    $0a month

  • Geisinger Gold Value Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Wyomissing, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH3954-163-000Medicare.gov
    $29a month

1 more Geisinger Gold plan hasn't been checked yet.

Jefferson Health Plans

8 plans list Philip.

8plans

  • Jefferson Health Plans Complete (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Reading, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH9207-012-000Medicare.gov
    $0a month

  • Jefferson Health Plans Flex (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Reading, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage3 starsH1619-001-000Medicare.gov
    $0a month

  • Jefferson Health Plans Giveback (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Reading, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH9207-015-000Medicare.gov
    $0a month

  • Jefferson Health Plans Prime (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Reading, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH9207-002-000Medicare.gov
    $12.80a month

UPMC for Life

8 plans list Philip.

8plans

  • UPMC for Life Essential Rx (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Wyomissing, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH5533-017-001Medicare.gov
    $0a month

  • UPMC for Life HMO No Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Wyomissing, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    HMONo drug coverage4.5 starsH3907-002-000Medicare.gov
    $0a month

  • UPMC for Life HMO Premier Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Wyomissing, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4.5 starsH3907-059-003Medicare.gov
    $0a month

  • UPMC for Life PPO Salute (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Wyomissing, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4.5 starsH5533-016-001Medicare.gov
    $0a month

Humana

5 plans list Philip; not listed on 10 other plans.

5plans

  • Humana Gold Choice H8145-052 (PFFS)

    Source: Humana provider directory.

    The source lists the clinician on this plan, but hasn't identified a covered office. Confirm your office before enrolling.

    PFFSDrug coverage4 starsH8145-052-000Medicare.gov
    $0a month

  • Humana Gold Plus H6622-035 (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Reading, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH6622-035-000Medicare.gov
    $0a month

  • Humana Dual Select H6622-103 (HMO D-SNP)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Reading, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage4 starsH6622-103-000Medicare.gov
    $0a month

  • Humana Gold Plus SNP-DE H5377-003 (HMO D-SNP)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Reading, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage4 starsH5377-003-000Medicare.gov
    $0a month

Wellcare

3 plans list Philip.

3plans

  • Wellcare Simple (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Reading, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH2915-003-000Medicare.gov
    $0a month

  • Wellcare PA Health & Wellness Dual Liberty Sync (HMO-POS D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Reading, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with Medicare and MedicaidDrug coverage3.5 starsH2915-002-000Medicare.gov
    $0a month

  • Wellcare PA Health & Wellness Dual Select (HMO-POS D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Reading, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with Medicare and MedicaidDrug coverage3.5 starsH2915-018-000Medicare.gov
    $0a month

Highmark Wholecare Medicare Assured

2 plans list Philip.

2plans

  • Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Wyomissing, PA, 19610
    • 1011 Reed Ave, Ste 600, Wyomissing, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH5932-001-000Medicare.gov
    $12.80a month

  • Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Wyomissing, PA, 19610
    • 1011 Reed Ave, Ste 600, Wyomissing, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH5932-009-000Medicare.gov
    $12.80a month

UPMC for Life Complete Care

1 plan lists Philip.

1plan

  • UPMC for Life Complete Care (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Wyomissing, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH4279-007-004Medicare.gov
    $0a month

VISTA Health Plan Inc.

1 plan lists Philip.

1plan

  • Amerihealth Caritas VIP Care (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1011 Reed Ave, Ste 300, Reading, PA, 19610

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH4227-002-000Medicare.gov
    $9a month

HealthSpring

Not listed on its 3 plans here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Philip takes it. Free.

Original Medicare

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

Compare Supplement plans

Where they practice

Practice location

1011 Reed Ave Ste 300
Wyomissing, PA 19610

610-374-4401Directions
NPI Registry
NPI issued
2012
Registry record updated
Jan 29, 2018

Medicare's clinician details aren't available on this page yet.

Questions

Common questions

Which 2027 Medicare Advantage plans list Philip Elbaum?

In Berks County, PA, 81 Medicare Advantage plans for 2027 list Philip in provider data from Medicare.gov or the carrier, including Capital Blue Cross Essential (HMO), Capital Blue Cross Select (PPO) and Capital Blue Cross Value (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Does Philip Elbaum take Capital Blue Cross Medicare Advantage plans?

Medicare.gov provider data lists Philip on 12 Medicare Advantage plans for 2027 in Berks County, PA, including Capital Blue Cross Essential (HMO) and Capital Blue Cross Select (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Capital Blue Cross before you enroll.

Does Philip Elbaum take UnitedHealthcare Medicare Advantage plans?

Medicare.gov provider data lists Philip on 12 Medicare Advantage plans for 2027 in Berks County, PA, including AARP Medicare Advantage from UHC PA-0002 (HMO-POS) and AARP Medicare Advantage from UHC PA-0011 (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or UnitedHealthcare before you enroll.

Does Philip Elbaum take Aetna Medicare Medicare Advantage plans?

Medicare.gov provider data lists Philip on 11 Medicare Advantage plans for 2027 in Berks County, PA, including Aetna Medicare Advantra Eagle Plus (HMO-POS) and Aetna Medicare Advantra Signature (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Aetna Medicare before you enroll.

Where does Philip Elbaum practice?

1011 Reed Ave Ste 300, Wyomissing, PA 19610.

How do I confirm Philip is in my plan's network?

Call the member services number on your plan card and give them the NPI 1235484031, or ask a Silverpath advisor to check for you. It's free.

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A Silverpath advisor can confirm Philip's networks with the carrier and help you compare plans that include them.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for Philip Elbaum on 3 plans from HealthSpring in Berks County, PA. Other offices are not confirmed; this isn't proof the practice is out of network.

Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

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Nearby

Adam SpiegelWyomissing, PA · Listed on 89 plansRobert CooperWyomissing, PA · Listed on 83 plansCarl MeleWyomissing, PA · Listed on 79 plansAnish PaudelWyomissing, PA · Listed on 77 plansAnirudh Masand-RaiWyomissing, PA · Listed on 76 plansChristopher IbrahimWyomissing, PA · Listed on 76 plansBrian McAllisterWyomissing, PA · Listed on 75 plansMichael RiversoWyomissing, PA · Listed on 75 plans

See all internal medicine, gastroenterology providers in PA

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2018-01-29). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 24, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Philip Elbaum or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

Are you Philip Elbaum? Talk to us about this page, or request a correction or removal.

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