Dr Shayna Lee Gordon, MD in Greenwood, IN

Dr Shayna Lee Gordon, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Greenwood, Indiana. She went to Indiana University School Of Medicine and graduated in 2012 and has 14 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Optima Dermatology Llc and her current practice location is 2800 S State Road 135 Ste 250, Greenwood, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 300-1788.

Dr Shayna Lee Gordon is licensed to practice in Indiana (license number 01078403A) 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 1679849780.

Contact Information

	Dr Shayna Lee Gordon, MD
	2800 S State Road 135 Ste 250, Greenwood, IN 46143-6223
	(317) 300-1788
	(317) 743-8103

Map and Direction

Physician's Profile

Full Name	Dr Shayna Lee Gordon
Gender	Female
Speciality	Dermatology
Experience	14 Years
Location	2800 S State Road 135 Ste 250, Greenwood, Indiana
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 Shayna Lee Gordon attended and graduated from Indiana University School Of Medicine in 2012

NPI Data:

NPI Number: 1679849780
Provider Enumeration Date: 03/23/2012
Last Update Date: 02/25/2026

Medicare PECOS Information:

PECOS PAC ID: 4880823038
Enrollment ID: I20170822001642

Medical Identifiers

Medical identifiers for Dr Shayna Lee Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679849780	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ND0101X	Dermatology - Mohs-micrographic Surgery	01078403A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Optima Dermatology Llc	3971561648	63

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 Shayna Lee Gordon allows following entities to bill medicare on her behalf.

Entity Name	Dermatology Center Of Indiana Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033199138 PECOS PAC ID: 0941386999 Enrollment ID: O20080401000053

Entity Name	Optima Dermatology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831187764 PECOS PAC ID: 3971561648 Enrollment ID: O20230823002407

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 Shayna Lee Gordon 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 Shayna Lee Gordon, MD 111 New Hampshire Ave Ste 2, Portsmouth, NH 03801-2864 Ph: (330) 947-6021	Dr Shayna Lee Gordon, MD 2800 S State Road 135 Ste 250, Greenwood, IN 46143-6223 Ph: (317) 300-1788

Reviews and Comments

Dermatology Doctors in Greenwood, IN

Andrew J Scripture, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2800 S State Road 135 Ste 250, Greenwood, IN 46143 Phone: 317-300-1788 Fax: 317-743-8103
Dr. Michael Edward Murphy, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 701 E. County Line Road, Suite 208, Greenwood, IN 46143 Phone: 317-859-8970 Fax: 317-859-8977
Christopher Mark Bohyer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 875 Airport Pkwy # 1, Greenwood, IN 46143 Phone: 317-926-3739 Fax: 317-921-7473
Scott Thomas Guenthner, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2800 S State Road 135 Ste 250, Greenwood, IN 46143 Phone: 317-300-1788 Fax: 317-743-8103
Mrs. Laura T Stitle, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 53 South Park Blvd, Greenwood, IN 46143 Phone: 317-889-7546 Fax: 317-889-2482
Maria Catherine Bell, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 875 Airport Pkwy, Greenwood, IN 46143 Phone: 317-926-3739 Fax: 317-931-3949

Dr Shayna Lee Gordon, MD - Medicare Dermatology in Greenwood, IN