Shaleece Selden, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Worcester, Massachusetts. Her current practice location is
26 Queen Street, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 860-7800.
Shaleece Selden is licensed to practice in Massachusetts (license number RN2359779) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184191686.
Healthcare Provider's Profile
Full Name | Shaleece Selden |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 26 Queen Street, Worcester, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1184191686
- Provider Enumeration Date: 11/01/2018
- Last Update Date: 05/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 6406389311
- Enrollment ID: I20241031000260
Medical Identifiers
Medical identifiers for Shaleece Selden such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184191686 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
163W00000X | Registered Nurse | RN2359779 (Massachusetts) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN2359779 (Massachusetts) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shaleece Selden allows following entities to bill medicare on her behalf.
Entity Name | Family Health Center Of Worcester, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841200664 PECOS PAC ID: 4789670985 Enrollment ID: O20040422001380 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shaleece Selden is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shaleece Selden, 695 Truman Hwy, Hyde Park, MA 02136-3552 Ph: () - | Shaleece Selden, 26 Queen Street, Worcester, MA 01610-2473 Ph: (508) 860-7800 |
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