MR

MARIXA RIVERA

RM74789 · 10/12/1964 · Updated 05/22/2026
Active
Basic Information
Patient Record Number: RM74789
Date of Birth: 10/12/1964
Age: 61
Sex: female
SSN: N/A
Medicare Number: N/A
Last Updated: 05/22/2026 05:38 PM
Contact Information
Mobile Phone: (773) 914-0060
Home Phone: N/A
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: Never
Provider: Kalpana Mutyala
Address Information
841 N York St,
Apt 109
Elmhurst, IL 60126
Coordinates: 41.9249972, -87.9380738
Home Health Nurse
DEPENDABLE NURSING HOME HEALTH SERVICES
Phone: 847-565-4150
Fax: 847-565-4151
Status: Active
Medicare Part B Deductible
Current Year (2026)
Total Deductible: $283.00
Remaining: $0.00 ✓ Deductible Met
Last updated: 03/26/2026
Annual Wellness Visit
Last wellness visit: 09/01/2026
Discharge History
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No discharge history

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Remittance Claims
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