Michael Jones

84276 English Courts
South Melissafort, MO 15902 
 Michael Jones (id #922514, DATE OF BIRTH: 1994-21-02) 
 date of encounter: 2017-05-11 
 Patient 
 Patient name 
 Michael Jones (33yo, F) ID# 922512 
 Appt. Date/Time 
 2023-18-02 11:00AM 
 DATE OF BIRTH 
 1994-21-02 
 Service Dept. 
 MGPC_Grove City Broadway 
 - 
 Provider 
 MOIRA SKURATOWICZ, APRN 
 Insurance 
 Med Primary: AETNA 
 Insurance # : W212544738
 Policy/Group # : 010986743840258 
 PCP : MILLER, TERESA 
 Prescription: CVS|CAREMARK - Member is eligible. details 
 Patient's Care Team 
 Primary Care Provider (Primary Insurance): MILLER, TERESA: 3667 MARLANE DR, GROVE CITY, OH 43123, Ph 812-581-5010, Fax 814-553-1545 
 Vitals 
 2023-18-02 03:12 pm 
 Ht: 5 ft 4 in 
 Measurements 
 None recorded. 
 Allergies 
 Reviewed Allergies 
 Ibuprofen: Hives (Moderate) 
 DIPHENHYDRAMINE HCL: - COMMENT: CAUSATIVE AGENT: BENADRYL; 
 YEAST: - REACTION: HIVES, RASH; 
 Medications
