Provider profile

Haitham AbughniaMD

Internal Medicine

NPI 1437346889
401 N State St, Clarks Summit, PA 18411570-587-7817

Check your plan

Medicare Advantage plans for Lackawanna County, PA.

Checked Oct 25, 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 39 Medicare Advantage plans for 2027

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

The 73 Medicare Advantage plans we show for Lackawanna County, PA in 2027

  • 39 list Haitham
  • 25 not listed
  • 9 not checked yet

UnitedHealthcare

13 plans list Haitham.

13plans
  • AARP Medicare Advantage from UHC PA-0002 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1400 Main St, Peckville, PA, 18452

    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:

    • 1400 Main St, Peckville, PA, 18452

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

    PPODrug coverage4 starsH2406-072-000Medicare.gov
    $0a month
  • AARP Medicare Advantage from UHC PA-0015 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1400 Main St, Peckville, PA, 18452

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

    PPODrug coverage4.5 starsH2001-110-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Giveback from UHC PA-12 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1400 Main St, Peckville, PA, 18452

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

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

Aetna Medicare

10 plans list Haitham.

10plans
  • Aetna Medicare Advantra Eagle Plus (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1400 Main St, Peckville, PA, 18452

    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 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1400 Main St, Peckville, PA, 18452

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

    HMO-POSDrug coverage3.5 starsH3959-037-000Medicare.gov
    $0a month
  • Aetna Medicare Advantra Signature (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1400 Main St, Peckville, PA, 18452

    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:

    • 1400 Main St, Peckville, PA, 18452

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

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

Geisinger Gold

9 plans list Haitham.

9plans
  • Geisinger Gold Classic 360 Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5 S Washington Ave, Jermyn, PA, 18433

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

    HMODrug coverage4 starsH3954-160-000Medicare.gov
    $0a month
  • Geisinger Gold Classic Essential Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5 S Washington Ave, Jermyn, PA, 18433

    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:

    • 5 S Washington Ave, Jermyn, PA, 18433

    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:

    • 5 S Washington Ave, Jermyn, PA, 18433

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

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

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

Wellcare

3 plans list Haitham.

3plans
  • Wellcare Simple (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 401 N State St, Clarks Summit, PA, 18411

    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:

    • 401 N State St, Clarks Summit, PA, 18411

    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:

    • 401 N State St, Clarks Summit, PA, 18411

    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 Blue Cross Blue Shield or Highmark Blue Shield

2 plans list Haitham.

2plans
  • Community Blue Medicare HMO Signature (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 401 N State St, Clarks Summit, PA, 18411
    • 240 Terrace Dr, Peckville, PA, 18452
    • 5 S Washington Ave, Jermyn, PA, 18433
    • 1 Kim Ave, Ste 1, Tunkhannock, PA, 18657

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

    HMODrug coverage4.5 starsH3957-042-001Medicare.gov
    $0a month
  • Community Blue Medicare HMO Distinct (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 401 N State St, Clarks Summit, PA, 18411
    • 240 Terrace Dr, Peckville, PA, 18452
    • 5 S Washington Ave, Jermyn, PA, 18433
    • 1 Kim Ave, Ste 1, Tunkhannock, PA, 18657

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

    HMODrug coverage4.5 starsH3957-049-001Medicare.gov
    $45a month

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

UPMC for Life Complete Care

1 plan lists Haitham.

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

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 401 N State St, Clarks Summit, PA, 18411
    • 746 Jefferson Ave, Scranton, PA, 18510
    • 240 Terrace Dr, Peckville, PA, 18452

    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 Haitham.

1plan
  • Amerihealth Caritas VIP Care (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 5 S Washington Ave, Jermyn, PA, 18433

    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

Devoted

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

Humana

Not listed on its 15 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 Haitham 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

Compare Supplement plans

Practice location

401 N State St
Clarks Summit, PA 18411

NPI Registry
NPI issued
2007
Registry record updated
Nov 8, 2023

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

Common questions

Which 2027 Medicare Advantage plans list Haitham Abughnia?

In Lackawanna County, PA, 39 Medicare Advantage plans for 2027 list Haitham in provider data from Medicare.gov or the carrier, including AARP Medicare Advantage from UHC PA-0002 (HMO-POS), AARP Medicare Advantage from UHC PA-0011 (PPO) and AARP Medicare Advantage from UHC PA-0015 (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 Haitham Abughnia take UnitedHealthcare Medicare Advantage plans?

Medicare.gov provider data lists Haitham on 13 Medicare Advantage plans for 2027 in Lackawanna 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 Haitham Abughnia take Aetna Medicare Medicare Advantage plans?

Medicare.gov provider data lists Haitham on 10 Medicare Advantage plans for 2027 in Lackawanna County, PA, including Aetna Medicare Advantra Eagle Plus (HMO-POS) and Aetna Medicare Advantra Signature (HMO-POS). 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.

Does Haitham Abughnia take Geisinger Gold Medicare Advantage plans?

Medicare.gov provider data lists Haitham on 9 Medicare Advantage plans for 2027 in Lackawanna County, PA, including Geisinger Gold Classic 360 Rx (HMO) and Geisinger Gold Classic Essential Rx (HMO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Geisinger Gold before you enroll.

Where does Haitham Abughnia practice?

401 N State St, Clarks Summit, PA 18411.

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

Call the member services number on your plan card and give them the NPI 1437346889, or ask a Silverpath advisor to check for you. It's free.

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A Silverpath advisor can confirm Haitham'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:

  • Devoted and Humana's directories don't list Haitham Abughnia on any of their 25 plans in Lackawanna County, PA.

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 2023-11-08). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 25, 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 Haitham Abughnia 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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