Shaylice Michelle Meserole, APRN - Medicare Nurse Practitioner in Woodbridge, CT

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Shaylice Michelle Meserole, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Woodbridge, Connecticut. Her current practice location is 22 Selden St, Woodbridge, Connecticut. You can reach out to her office (for appointments etc.) via phone at (312) 696-9321.

Shaylice Michelle Meserole is licensed to practice in Connecticut (license number 6406) 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 1912372350.

Contact Information

Shaylice Michelle Meserole, APRN
22 Selden St,
Woodbridge, CT 06525-2218
(312) 696-9321
(203) 971-5497

Map and Direction




Provider's Profile

Full NameShaylice Michelle Meserole
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location22 Selden St, Woodbridge, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912372350
  • Provider Enumeration Date: 12/10/2015
  • Last Update Date: 01/02/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9032409057
  • Enrollment ID: I20170307000641

Medical Identifiers

Medical identifiers for Shaylice Michelle Meserole such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912372350NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 116134 (Connecticut)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 6406 (Connecticut)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. Shaylice Michelle Meserole allows following entities to bill medicare on her behalf.
Entity NameSouthlake Community Mental Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821081290
PECOS PAC ID: 5991600355
Enrollment ID: O20031201000049

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. Shaylice Michelle Meserole 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 AddressPractice Location Address
Shaylice Michelle Meserole, APRN
22 Selden St,
Woodbridge, CT 06525-2218

Ph: (312) 696-9321		Shaylice Michelle Meserole, APRN
22 Selden St,
Woodbridge, CT 06525-2218

Ph: (312) 696-9321

Reviews and Comments


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Ms. Christa M Mann, APRN, FNP-C
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Mijung Kim, APRN
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.