MOUNIS KHAKIMOV
CIN: UW77138Z
Date of Birth: May 23, 1973
Gender: Male
Created: July 28, 2026
Address:
155 BEACH 19 STREET 15A
, FAR ROCKAWAY, NY 11691
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: MA Eligible
MCO: —
Recertification:
No
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 |