ES

EARNEST SMITH

SE217861 · 03/02/1953 · Updated 03/09/2026
Active PF
Basic Information
Patient Record Number: SE217861
Date of Birth: 03/02/1953
Age: 73
Sex: male
SSN: N/A
Medicare Number: N/A
Last Updated: 03/09/2026 07:12 PM
Contact Information
Mobile Phone: (708) 502-0579
Home Phone: N/A
Email: N/A
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 03/29/2024
Address Information
4715 SAINT CHARLES RD
Bellwood, IL 60104
Coordinates: 41.8891749, -87.8915426
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

No wellness visit information available

Certifications
07/20/2023 - 09/17/2023
Expired
Discharge History
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No discharge history

Patient Actions
Appointment History
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485 Certifications
Start Date End Date Status Type Notes Actions
07/20/2023 09/17/2023 Expired N/A N/A
Patient Documents
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Practice Fusion Link
Linked
PF GUID: c28733ac-9e6b-490d-8...
Linked At: 01/14/2026 18:41
Stored Transcripts

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Encounter History
Date Type Provider Chief Complaint Status Actions
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Total Claims

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Total Paid

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Denials

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Payment Rate
Remittance Claims
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