IS

INDIRABEN SHAH

SI855292 · 06/22/1948 · Updated 03/02/2026
Active PF
Basic Information
Patient Record Number: SI855292
Date of Birth: 06/22/1948
Age: 77
Sex: female
SSN: N/A
Medicare Number: N/A
Last Updated: 03/02/2026 08:13 PM
Contact Information
Mobile Phone: (847) 414-2807
Home Phone: (847) 414-2890
Email: shahdipakr@gmail.com
Emergency Contact: N/A
Emergency Phone: N/A
Last Seen: 02/27/2026
Address Information
2012 Fountain Grass Ct
Bartlett, IL 60103
Coordinates: 41.9949112, -88.2518891
Home Health Nurse
AVESEENA HOME HEALTH
Phone: N/A
Fax: 630-833-2487
Status: Active
Medicare Part B Deductible

No deductible information available

Annual Wellness Visit
Overdue
(74 days ago)
Next Due Date: 01/01/2026
Certifications
07/04/2025 - 09/01/2025
Expired
05/05/2025 - 07/03/2025
Expired
SOC: 3/06/2025
03/06/2025 - 05/04/2025
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
07/04/2025 09/01/2025 Expired N/A N/A
05/05/2025 07/03/2025 Expired N/A SOC: 3/06/2025
03/06/2025 05/04/2025 Expired N/A N/A
Patient Documents
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Practice Fusion Link
Linked
PF GUID: 64a5c953-b690-4e7d-8...
Linked At: 01/14/2026 18:23
Stored Transcripts

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Encounter History
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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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