Import Eligibility › Patient Detail

PAVEL AVERBUKH

CIN: WA02609R

Active
Date of Birth: March 28, 1935
Gender: Male
Created: Aug. 13, 2026
Address: 2950 W 31ST STREET 2A , BROOKLYN, NY 11224
Last Updated: Aug. 13, 2026 3:15 PM

Latest Eligibility Snapshot

Date of Service: Aug. 14, 2026
Medicaid Eligible: Yes
Coverage: Aug. 1, 2026 — —
Plan: ELIGIBLE PCP
MCO: ELDERSERVE HEALTH INC MLTCP
Recertification: No
Code 60: No
S1: No

Eligibility History

Date of Service Status Recert Code 60 S1 Import 271
Aug. 14, 2026 Eligible — — — Expert Census Referrals - CIN_IMPORT (1).csv View