SAMUEL BLAND
CIN: VR74554A
Date of Birth: June 23, 1959
Gender: Male
Created: July 26, 2026
Address:
800 MADISON STREET M123
, BROOKLYN, NY 11221
Last Updated: July 26, 2026 10:06 AM
Latest Eligibility Snapshot
Date of Service: July 26, 2026
Medicaid Eligible:
Yes
Coverage: July 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: ANTHEM HP LLC PARTIAL MLTC
Recertification:
Yes — June 30, 2027
NHTD:
No
Code 60:
No
Surplus:
Yes