Dr Shantai Mcdermott, DNP in Tamuning, GU - Medicare Nurse Practitioner

Dr Shantai Mcdermott, DNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Tamuning, Guam. She went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kodiak Area Native Association and her current practice location is 790 Gov Carlos G Camacho Rd, Tamuning, Guam. You can reach out to her office (for appointments etc.) via phone at (671) 647-5440.

Dr Shantai Mcdermott is licensed to practice in Guam (license number 100462) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093112898.

Contact Information

	Dr Shantai Mcdermott, DNP
	790 Gov Carlos G Camacho Rd, Tamuning, GU 96913-3129
	(671) 647-5440
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Shantai Mcdermott
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	790 Gov Carlos G Camacho Rd, Tamuning, Guam
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Shantai Mcdermott attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 2022

NPI Data:

NPI Number: 1093112898
Provider Enumeration Date: 11/24/2014
Last Update Date: 02/02/2026

Medicare PECOS Information:

PECOS PAC ID: 6507169984
Enrollment ID: I20231218000704

Medical Identifiers

Medical identifiers for Dr Shantai Mcdermott such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093112898	NPI	-	NPPES
1734585	Medicaid	AK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	ARNP9338371 (Florida)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	ARNP9338371 (Florida)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	198254 (Alaska)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	100462 (Guam)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	198254 (Alaska)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	100462 (Guam)	Primary
363LA2200X	Nurse Practitioner - Adult Health	100462 (Guam)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	ARNP9338371 (Florida)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	198254 (Alaska)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kodiak Area Native Association	8426959297	34

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. Dr Shantai Mcdermott allows following entities to bill medicare on her behalf.

Entity Name	Kodiak Area Native Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679514236 PECOS PAC ID: 8426959297 Enrollment ID: O20041004000838

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. Dr Shantai Mcdermott 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
Dr Shantai Mcdermott, DNP 285 Farenholt Ave Ste 303, Tamuning, GU 96913-3223 Ph: (671) 998-3344	Dr Shantai Mcdermott, DNP 790 Gov Carlos G Camacho Rd, Tamuning, GU 96913-3129 Ph: (671) 647-5440

Reviews and Comments

Nurse Practitioner Nurses in Tamuning, GU

Diane M Hiatt, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 388 Ypao Rd, Tamuning, GU 96913 Phone: 671-646-8881 Fax: 671-646-1292
Marvin Nogoy, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 633 Gov Carlos G Camacho Rd Ste 210, Tamuning, GU 96913 Phone: 671-649-1001 Fax: 671-649-1002
Mrs. Carolyn L. Mendiola Fruge, MSN. AGNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1244 N Marine Corps Dr, Tamuning, GU 96913 Phone: 671-647-8262 Fax: 671-647-5252
Bannuar Emmanuel Tomboc Quiaoit, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 125 Tun Jesus Crisostomo St Ste 104, Tamuning, GU 96913 Phone: 671-649-8638
Ms. Elena Kirilova Taneva-cholakova, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 388 Ypao Rd, Tamuning, GU 96913 Phone: 671-646-8881
Shion Shironishi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 388 Ypao Rd, Tamuning, GU 96913 Phone: 671-864-7666

Dr Shantai Mcdermott, DNP - Medicare Nurse Practitioner in Tamuning, GU