TM

THOMAS MIKOS

MT540713 · 01/31/1937 · Updated 04/10/2026
On Hold
Basic Information
Patient Record Number: MT540713
Date of Birth: 01/31/1937
Age: 89
Sex: male
SSN: N/A
Medicare Number: N/A
Last Updated: 04/10/2026 05:29 PM
Contact Information
Mobile Phone: (773) 939-1723
Home Phone: (708) 478-0059
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: Never
Provider: Kalpana Mutyala
Address Information
10653 EAGLE RIDGE DR
Orland Park, IL 60467
Coordinates: 41.5600682, -87.87786530000001
Home Health Nurse
MEDIC HOME HEALTHCARE
Phone: 888-207-6251
Fax: 888-207-6250
Status: Active
Medicare Part B Deductible

No deductible information available

Annual Wellness Visit

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Discharge History
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Total Claims

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Denials

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Remittance Claims
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Patient On Hold
Hold Reason: no poc 2025
Hold Since: 07/03/2025
Hold Until: Indefinite