WAYNE DAVENPORT

On Hold
Details
Basic Information
Patient Record Number: DW336889
Date of Birth: 10/11/1938
Age: 87
Sex: N/A
SSN: N/A
Medicare Number: N/A
Contact Information
Mobile Phone: (773) 787-7981
Home Phone: N/A
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 10/15/2025
Address Information
5325 S Cottage Grove Ave
Apt 509
Chicago, IL 60615
Coordinates: 41.7976868, -87.6059563
Home Health Nurse
OPTIMUM HEALTHCARE SERVICES
Phone: 773-878-8753
Fax: 773-878-8738
Status: Active
Medicare Part B Deductible
Current Year (2025)
Total Deductible: $257.00
Remaining: $0.00 ✓ Deductible Met
Last updated: 12/11/2025
Annual Wellness Visit
Last wellness visit: 05/01/2026
Appointments
Certifications
06/24/2025 - 08/22/2025
Expired
04/25/2025 - 06/23/2025
Expired
Discharge History
View All

No discharge history

Patient Actions
Appointment History
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485 Certifications
Start Date End Date Status Type Notes Actions
06/24/2025 08/22/2025 Expired N/A N/A
04/25/2025 06/23/2025 Expired N/A N/A
Patient On Hold
Hold Reason: No Certification on Practice Fusion
Hold Since: 07/03/2025
Hold Until: Indefinite