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Insurance information for patients who will be seeing
Eileen K. Carpenter, MD at Spruce Internal Medicine:

Clinical Care Associates accepts a wide variety of insurance plans. However, not all of those plans allow NEW patients to be seen at CCA practices, even if they are following an "old" doctor.

The following information is available so far. This information may be helpful, but if you have an insurance company that puts your doctor's phone number on your medical card, you will have to check with your insurance to make sure you can actually see Dr. Carpenter at Spruce Internal Medicine.

It will take some time for them to add her to the list of doctors at this address. However, you may be able choose the practice by name and address (for most employer insurance plans).

Otherwise, you can choose any other doctor in the practice to get the ball rolling, then switch to Dr. Carpenter once she starts seeing people.

This is a list of the other providers who are already part of Spruce Internal Medicine, 800 Walnut St., 16th Floor, Philadelphia PA 19107. If your insurance doesn't have Dr. Carpenter listed at Spruce Internal Medicine yet, see if they have one of these doctors, and then sign up for that doctor:
Tamara Danilewitz, MD
Elizabeth Y. Fung, DO
Kathleen King, MD
Jennifer Nizen, MD
Lori M. Noble, MD
Joyce Rubin, MD
Robert Rudenstein, MD
Laura Tucker Honig, PA-C, MPH
Erica Wolf, MD

Please note that with Keystone First (Keystone Mercy), United Healthcare Community Plan, Aetna Better Health, and Health Partners, it is NOT required that all family members have the same plan. If your children's doctor doesn't take United Healthcare Community Plan, your children don't have to switch plans just because you switch.


Insurance plan
Details
Aetna HMO
Accepted. Ask for office number 040099, "Penn Health Spruce Internal Medicine." (You only need to choose the office.)
Aetna Better Health
Not currently accepted. Call Pennsylvania Health Choices 1-800-440-3989 to request a change to United Healthcare Community Plan.

Until Dr. Carpenter is in the United HealthCare system under the new office, enroll with lead physician Jennifer Nizen, MD, provider number 00176922000300100.
Aetna Better Health Private Coverage Option
That entire program is being phased out by the Commonwealth of Pennsylvania. If you have not already been changed to regular Medicaid coverage, call the Philadelphia Customer Service Center 215-560-7226 to request that your transition date be moved up. Then enroll in United Health Care Community Plan.
AmeriHealth
Available only for Regional Preferred Network members, under name "CCA Spruce Internal Medicine Associates"
Keystone Health Plan East/Keystone 65/Keystone Proactive
Accepted. Ask for office number 0676798057, "CCA Spruce Internal Medicine Associates." Dr. Carpenter's provider number is 002810891; however, you only need to choose the office.
Keystone First (Keystone Mercy)
Keystone is currently not allowing new patients to enroll at this office; we aren't sure if they will reconsider for Dr. Carpenter's patients when she is added to their office profile.

We are currently recommending that patients call Pennsylvania Health Choices 1-800-440-3989 to request a change to United Healthcare Community Plan.

Until Dr. Carpenter is in the United HealthCare system under the new office, enroll with lead physician Jennifer Nizen, MD, provider number 00176922000300100.
Keystone Connect
That entire program is being phased out by the Commonwealth of Pennsylvania. If you have not already been changed to regular Medicaid coverage, call the Philadelphia Customer Service Center 215-560-7226 to request that your transition date be moved up. Then enroll in United Health Care Community Plan.
Medicare
You do not need to be assigned to a primary care office. You can see Dr. Carpenter at Spruce Internal Medicine without clearing it with your insurance.
Personal Choice/Independence Blue Cross
You do not need to be assigned to a primary care office. You can see Dr. Carpenter at Spruce Internal Medicine without clearing it with your insurance.
United Health Care Community Plan
Accepted. Until Dr. Carpenter is in their system under the new office, enroll with lead physician Jennifer Nizen, MD, provider number 00176922000300100.
United Health Care Community Plan Healthy PA Private Coverage Option
That entire program is being phased out by the Commonwealth of Pennsylvania. If you have not already been changed to regular Medicaid coverage, call the Philadelphia Customer Service Center 215-560-7226 to request that your transition date be moved up. Then enroll in United Health Care Community Plan.
Health Partners
Not currently accepted. Call Pennsylvania Health Choices 1-800-440-3989 to request a change to United Healthcare Community Plan.

Until Dr. Carpenter is in the United HealthCare system under the new office, enroll with lead physician Jennifer Nizen, MD, provider number 00176922000300100.
Cigna/Cigna Healthspring (Bravo)
Accepted. Until Dr. Carpenter is in their system under the new office, enroll with lead physician Jennifer Nizen, MD, provider number C06104637.
Keystone VIP Accepted. Until Dr. Carpenter is in their system under the new office, enroll with lead physician Jennifer Nizen, MD, provider number 1054877.








Other insurances listed here:
http://www.pennmedicine.org/health-system/patient/resources/health-plans.html
If there is not any doctor's name or office phone number on your medical card, you probably do not need to make any changes before scheduling an appointment. Have your insurance card at hand when you call for an appointment so the staff can help you.



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