Certifications for IDA JOHNSON LEE

Patient ID:
JI37804
Name:
IDA JOHNSON LEE
Status:
Active
Total Certifications:
3
Patient Certifications (3 total)
Certification Type Start Date End Date Status Document Created Actions
[G0180] - 485 Certification
N/A 03/07/2025 05/05/2025 Active
Document Available
2661d510-c108-4...
11/04/2025
[G0179] - 485 Recertification
N/A 07/05/2025 09/02/2025 Active
Document Available
d2fc82e5-e29e-4...
09/23/2025
[G0180] - 485 Certification
SOC: 03/07/2025
N/A 05/06/2025 07/04/2025 Active
Document Available
57a407a7-391b-4...
07/02/2025