SAMUEL BLAND
CIN: VR74554A
Date of Birth: June 23, 1959
Gender: Male
Created: July 28, 2026
Address:
800 MADISON STREET M123
, BROOKLYN, NY 11221
Last Updated: July 28, 2026 11:00 AM
Latest Eligibility Snapshot
Date of Service: June 12, 2026
Medicaid Eligible:
Yes
Coverage: July 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: ANTHEM HP LLC PARTIAL MLTC
Recertification:
Yes — June 30, 2027
Code 60:
No
S1:
No
Eligibility History
| Date of Service | Status | Recert | Code 60 | S1 | Import | 271 |
|---|---|---|---|---|---|---|
| June 12, 2026 | Eligible | ✓ | — | — | Expert Census Referrals - CIN_50_Import.csv | View |