Import Eligibility › Patient Detail

VERTINA J FULLWOOD

CIN: SG91390R

Active
Date of Birth: Sept. 30, 1966
Gender: Female
Created: Aug. 12, 2026
Address: 125 SCHROEDERS AVE #15C , BROOKLYN, NY 11239
Last Updated: Aug. 12, 2026 3:56 PM

Latest Eligibility Snapshot

Date of Service: Aug. 13, 2026
Medicaid Eligible: Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: ELDERPLAN INC MAP
Recertification: Yes — Nov. 30, 2026
Code 60: No
S1: Yes

Eligibility History

Date of Service Status Recert Code 60 S1 Import 271
Aug. 13, 2026 Eligible ✓ — ✓ A Plus Details - A Plus CIN.csv View