WILLIAM A CANNON
CIN: XE61902W
Date of Birth: April 17, 1955
Gender: Male
Created: Aug. 12, 2026
Address:
102 CUMBERLAND WALK
, BROOKLYN, NY 11205
Last Updated: Aug. 12, 2026 3:53 PM
Latest Eligibility Snapshot
Date of Service: Aug. 13, 2026
Medicaid Eligible:
Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: VILLAGE SENIOR SVC CORP PARTIAL LTC
Recertification:
Yes — March 31, 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 |