Dr Thor Farnsworth, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Joint Base Lewis Mcchord, Washington. He graduated from medical school in 2012 and has 13 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Lake Region Healthcare Corporation and his current practice location is
9040a Jackson Ave, Joint Base Lewis Mcchord, Washington. You can reach out to his office (for appointments etc.) via phone at
(253) 968-1110.
Dr Thor Farnsworth is licensed to practice in Washington (license number MD61157895) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1437414406.
Physician's Profile
| Full Name | Dr Thor Farnsworth |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 13 Years |
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| Location | 9040a Jackson Ave, Joint Base Lewis Mcchord, Washington |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Thor Farnsworth graduated from medical school in 2012
NPI Data:
- NPI Number: 1437414406
- Provider Enumeration Date: 07/05/2012
- Last Update Date: 05/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 2567790371
- Enrollment ID: I20221122003383
Medical Identifiers
Medical identifiers for Dr Thor Farnsworth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1437414406 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | MD-17603 (Hawaii) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 85271 (South Carolina) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 71792 (Minnesota) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 82448 (Georgia) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 313383 (Louisiana) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 35.136625 (Ohio) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD469344 (Pennsylvania) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 58952 (Tennessee) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 29255 (West Virginia) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD61157895 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lake Region Healthcare Corporation | 3971565334 | 124 |
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 Thor Farnsworth allows following entities to bill medicare on his behalf.
| Entity Name | Prairie Ridge Hospital And Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407838329
PECOS PAC ID: 0648222349
Enrollment ID: O20050210000490 |
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| Entity Name | Lake Region Healthcare Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093713372
PECOS PAC ID: 3971565334
Enrollment ID: O20060109000246 |
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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 Thor Farnsworth 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 |
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Dr Thor Farnsworth, MD
9040a Jackson Ave,
Joint Base Lewis Mcchord, WA 98431-0001
Ph: (253) 968-1110 | Dr Thor Farnsworth, MD
9040a Jackson Ave,
Joint Base Lewis Mcchord, WA 98431-5001
Ph: (253) 968-1110 |
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