Provider profile

Eric CarlsonDO

Obstetrics & Gynecology, Maternal & Fetal Medicine

NPI 1316995574
100 E Lancaster Ave, 353 Medical Office Building East, Wynnewood, PA 19096610-649-9021

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Medicare Advantage plans for Montgomery County, PA.

Checked Oct 14, 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 36 Medicare Advantage plans for 2027

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

The 87 Medicare Advantage plans we show for Montgomery County, PA in 2027

  • 36 list Eric
  • 49 not listed
  • 2 not checked yet

Highmark Blue Cross Blue Shield or Highmark Blue Shield · Independence Blue Cross

11 plans list Eric.

11plans
  • Keystone 65 Assured Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 100 E Lancaster Ave, # B5, Wynnewood, PA, 19096
    • Boulevardsuite 300 B, Oaks, PA, 19456
    • 780 E Market St, Ste 105, West Chester, PA, 19382

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

    HMODrug coverage4 starsH3952-062-000Medicare.gov
    $0a month
  • Keystone 65 Liberty Medical Only (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 100 E Lancaster Ave, # B5, Wynnewood, PA, 19096
    • Boulevardsuite 300 B, Oaks, PA, 19456
    • 780 E Market St, Ste 105, West Chester, PA, 19382

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

    HMONo drug coverage4 starsH3952-059-000Medicare.gov
    $0a month
  • Keystone 65 Preferred Medical Only (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 100 E Lancaster Ave, # B5, Wynnewood, PA, 19096
    • Boulevardsuite 300 B, Oaks, PA, 19456
    • 780 E Market St, Ste 105, West Chester, PA, 19382

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

    HMONo drug coverage4 starsH3952-008-000Medicare.gov
    $0a month
  • Keystone 65 Select Medical Only (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 100 E Lancaster Ave, # B5, Wynnewood, PA, 19096
    • Boulevardsuite 300 B, Oaks, PA, 19456
    • 780 E Market St, Ste 105, West Chester, PA, 19382

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

    HMONo drug coverage4 starsH3952-050-000Medicare.gov
    $0a month

2 more Highmark Blue Cross Blue Shield or Highmark Blue Shield plans haven't been checked yet.

Jefferson Health Plans

8 plans list Eric.

8plans
  • Jefferson Health Plans Complete (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 100 E Lancaster Ave, # B5, Wynnewood, PA, 19096
    • Blvdste 300b, Oaks, PA, 19456
    • 780 E Market St, Ste 105B, West Chester, PA, 19382

    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:

    • 100 E Lancaster Ave, # B5, Wynnewood, PA, 19096
    • Blvdste 300b, Oaks, PA, 19456
    • 780 E Market St, Ste 105B, West Chester, PA, 19382

    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:

    • 100 E Lancaster Ave, # B5, Wynnewood, PA, 19096
    • Blvdste 300b, Oaks, PA, 19456
    • 780 E Market St, Ste 105B, West Chester, PA, 19382

    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:

    • 100 E Lancaster Ave, # B5, Wynnewood, PA, 19096
    • Blvdste 300b, Oaks, PA, 19456
    • 780 E Market St, Ste 105B, West Chester, PA, 19382

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

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

HealthSpring

7 plans list Eric.

7plans
  • HealthSpring Preferred (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 450 Cresson Blvd, Ste 300B, Phoenixville, PA, 19460
    • 780 E Market St, Ste 105, West Chester, PA, 19382

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

    HMODrug coverage3 starsH3949-052-000Medicare.gov
    $0a month
  • HealthSpring Preferred PA (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 450 Cresson Blvd, Ste 300B, Phoenixville, PA, 19460
    • 780 E Market St, Ste 105, West Chester, PA, 19382

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

    HMODrug coverage3 starsH3949-031-000Medicare.gov
    $0a month
  • HealthSpring Preferred Savings (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 450 Cresson Blvd, Ste 300B, Phoenixville, PA, 19460
    • 780 E Market St, Ste 105, West Chester, PA, 19382

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

    HMODrug coverage3 starsH3949-053-000Medicare.gov
    $0a month
  • HealthSpring True Choice (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 450 Cresson Blvd, Ste 300B, Phoenixville, PA, 19460
    • 780 E Market St, Ste 105, West Chester, PA, 19382

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

    PPODrug coverage3 starsH7849-151-000Medicare.gov
    $9a month

Geisinger Gold

3 plans list Eric.

3plans
  • Geisinger Gold Heritage (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 450 Cresson Blvd, Ste 300, Oaks, PA, 19456
    • 780 E Market St, Ste 105, West Chester, PA, 19382

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

    HMONo drug coverage4 starsH3954-162-000Medicare.gov
    $0a month
  • Geisinger Gold Value Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 450 Cresson Blvd, Ste 300, Oaks, PA, 19456
    • 780 E Market St, Ste 105, West Chester, PA, 19382

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

    HMODrug coverage4 starsH3954-163-000Medicare.gov
    $29a month
  • Geisinger Gold Secure Rx (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 450 Cresson Blvd, Ste 300, Oaks, PA, 19456
    • 780 E Market St, Ste 105, West Chester, PA, 19382

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

    HMOFor people with Medicare and MedicaidDrug coverage4 starsH3954-097-000Medicare.gov
    $1a month

Wellcare

3 plans list Eric.

3plans
  • Wellcare Simple (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 919 Conestoga Rd, Ste 104, Bryn Mawr, PA, 19010

    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:

    • 100 E Lancaster Ave, # B5, Wynnewood, PA, 19096
    • 100 E Lancaster Ave, Wynnewood, PA, 19096
    • 919 Conestoga Rd, Ste 104, Bryn Mawr, PA, 19010
    • 100 E Lancaster Ave # Area, # B5, Blue Bell, PA, 19422

    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:

    • 100 E Lancaster Ave, # B5, Wynnewood, PA, 19096
    • 100 E Lancaster Ave, Wynnewood, PA, 19096
    • 919 Conestoga Rd, Ste 104, Bryn Mawr, PA, 19010
    • 100 E Lancaster Ave # Area, # B5, Blue Bell, PA, 19422

    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

UPMC for Life

2 plans list Eric.

2plans
  • UPMC for Life HMO No Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 100 E Lancaster Ave, # B5, Wynnewood, PA, 19096
    • 450 Cresson Blvd, Ste 300, Oaks, PA, 19456
    • 780 E Market St, Ste 105B, West Chester, PA, 19382

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

    HMONo drug coverage4.5 starsH3907-002-000Medicare.gov
    $0a month
  • UPMC for Life PPO Salute (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 100 E Lancaster Ave, # B5, Wynnewood, PA, 19096
    • 450 Cresson Blvd, Ste 300, Oaks, PA, 19456
    • 780 E Market St, Ste 105B, West Chester, PA, 19382

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

    PPONo drug coverage4.5 starsH5533-016-002Medicare.gov
    $0a month

UPMC for Life Complete Care

1 plan lists Eric.

1plan
  • UPMC for Life Complete Care (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 100 E Lancaster Ave, # B5, Wynnewood, PA, 19096
    • 450 Cresson Blvd, Ste 300, Oaks, PA, 19456
    • 780 E Market St, Ste 105B, West Chester, PA, 19382

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

    HMOFor people with Medicare and MedicaidDrug coverage3 starsH7123-001-000Medicare.gov
    $0a month

VISTA Health Plan Inc.

1 plan lists Eric.

1plan
  • Keystone First VIP Choice (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 100 E Lancaster Ave, Ste B5, Wynnewood, PA, 19096

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

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH4227-001-000Medicare.gov
    $12.80a month

Aetna Medicare

Not listed on its 10 plans here. That isn't proof they're out of network.

Devoted

Not listed on its 9 plans here. That isn't proof they're out of network.

Highmark Wholecare Medicare Assured

Not listed on its 2 plans here. That isn't proof they're out of network.

Humana

Not listed on its 13 plans here. That isn't proof they're out of network.

Perennial Advantage

Not listed on its 1 plan here. That isn't proof they're out of network.

UnitedHealthcare

Not listed on its 14 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 Eric takes it. Free.

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

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Practice location

100 E Lancaster Ave, 353 Medical Office Building East
Wynnewood, PA 19096

NPI Registry
NPI issued
2006
Registry record updated
Jul 13, 2026

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

Common questions

Which 2027 Medicare Advantage plans list Eric Carlson?

In Montgomery County, PA, 36 Medicare Advantage plans for 2027 list Eric in provider data from Medicare.gov or the carrier, including Keystone 65 Assured Rx (HMO), Keystone 65 Liberty Medical Only (HMO) and Keystone 65 Preferred Medical Only (HMO). 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 Eric Carlson take Highmark Blue Cross Blue Shield or Highmark Blue Shield Medicare Advantage plans?

Medicare.gov provider data lists Eric on 11 Medicare Advantage plans for 2027 in Montgomery County, PA, including Keystone 65 Assured Rx (HMO) and Keystone 65 Liberty Medical Only (HMO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Highmark Blue Cross Blue Shield or Highmark Blue Shield before you enroll.

Does Eric Carlson take Jefferson Health Plans Medicare Advantage plans?

Medicare.gov provider data lists Eric on 8 Medicare Advantage plans for 2027 in Montgomery County, PA, including Jefferson Health Plans Complete (HMO) and Jefferson Health Plans Flex (PPO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Jefferson Health Plans before you enroll.

Does Eric Carlson take HealthSpring Medicare Advantage plans?

Medicare.gov provider data lists Eric on 7 Medicare Advantage plans for 2027 in Montgomery County, PA, including HealthSpring Preferred (HMO) and HealthSpring Preferred PA (HMO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or HealthSpring before you enroll.

Where does Eric Carlson practice?

100 E Lancaster Ave, 353 Medical Office Building East, Wynnewood, PA 19096.

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

Call the member services number on your plan card and give them the NPI 1316995574, or ask a Silverpath advisor to check for you. It's free.

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A Silverpath advisor can confirm Eric'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 Eric Carlson on 49 plans from Aetna Medicare, Devoted, Highmark Wholecare Medicare Assured, Humana, Perennial Advantage and UnitedHealthcare in Montgomery 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.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2026-07-13). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 14, 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 Eric Carlson 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.

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