Import Eligibility Patient Detail

YACOB LEVY

CIN: TD08989J

Active
Date of Birth: March 21, 1950
Gender: Male
Created: July 28, 2026
Address: 2224 EAST 63 RD STREET , BROOKLYN, NY 11234
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: Medicare Coinsurance Deductible Only
MCO:
Recertification: No
Code 60: Yes
S1: Yes

Eligibility History

Date of Service Status Recert Code 60 S1 Import 271
June 12, 2026 Eligible Expert Census Referrals - CIN_50_Import.csv View