Import Eligibility › Patient Detail

CHARLENE MITCHELL

CIN: XE01987J

Active
Date of Birth: April 7, 1964
Gender: Female
Created: Aug. 12, 2026
Address: 309 E MOSHOLU PKWY N 1C , BRONX, NY 10467
Last Updated: Aug. 12, 2026 4:00 PM

Latest Eligibility Snapshot

Date of Service: Aug. 13, 2026
Medicaid Eligible: Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: COMMUNITY CARE MANAGEMENT PARTNERS
Recertification: No
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