Dr Shane Kelly Hoffman, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Madison, Wisconsin. His current practice location is
749 University Row Ste 200, Madison, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 263-6400.
Dr Shane Kelly Hoffman is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1972398469.
Physician's Profile
| Full Name | Dr Shane Kelly Hoffman |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 749 University Row Ste 200, Madison, Wisconsin |
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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: 1972398469
- Provider Enumeration Date: 04/14/2025
- Last Update Date: 05/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 5991224495
- Enrollment ID: I20250528002364
Medical Identifiers
Medical identifiers for Dr Shane Kelly Hoffman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1972398469 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 101463 (Wisconsin) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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 Shane Kelly Hoffman 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 Shane Kelly Hoffman, MD 749 University Row Ste 200, Madison, WI 53705-1465 Ph: (608) 263-6400 | Dr Shane Kelly Hoffman, MD 749 University Row Ste 200, Madison, WI 53705-1465 Ph: (608) 263-6400 |
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