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

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Dr Shayna Lee Gordon, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Plainfield, Indiana. She went to Indiana University School Of Medicine and graduated in 2012 and has 12 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 824 Edwards Dr, Plainfield, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 406-3254.

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
824 Edwards Dr,
Plainfield, IN 46168-2791
(317) 406-3254
(317) 406-3259

Map and Direction




Physician's Profile

Full NameDr Shayna Lee Gordon
GenderFemale
SpecialityDermatology
Experience12 Years
Location824 Edwards Dr, Plainfield, Indiana
Accepts Medicare AssignmentsYes. 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: 01/31/2024
  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.
IdentifierTypeStateIssuer
1679849780NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ND0101XDermatology - Mohs-micrographic Surgery 01078403A (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Optima Dermatology Llc397156164845

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 NameDermatology Center Of Indiana Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033199138
PECOS PAC ID: 0941386999
Enrollment ID: O20080401000053
Entity NameOptima Dermatology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice Location Address
Dr Shayna Lee Gordon, MD
111 New Hampshire Ave Ste 2,
Portsmouth, NH 03801-2864

Ph: (802) 909-2053		Dr Shayna Lee Gordon, MD
824 Edwards Dr,
Plainfield, IN 46168-2791

Ph: (317) 406-3254

Reviews and Comments


Dermatology Doctors in Plainfield, IN

Scott Thomas Guenthner, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 824 Edwards Dr, Plainfield, IN 46168
Phone: 317-406-3254    Fax: 317-406-3259

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.