FATEMA ANNAN
CIN: SX63763H
Date of Birth: April 20, 1981
Gender: Female
Created: Aug. 12, 2026
Address:
114 LEXINGTON AVE 1
, STATEN ISLAND, NY 10302
Last Updated: Aug. 12, 2026 3:51 PM
Latest Eligibility Snapshot
Date of Service: Aug. 13, 2026
Medicaid Eligible:
Yes
Coverage: Aug. 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 |
|---|---|---|---|---|---|---|
| Aug. 13, 2026 | Eligible | ✓ | — | — | A Plus Details - A Plus CIN.csv | View |