Dr Thor Farnsworth, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Joint Base Lewis Mcchord, Washington. 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 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 1437414406.
Physician's Profile
| Full Name | Dr Thor Farnsworth |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 9040a Jackson Ave, Joint Base Lewis Mcchord, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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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: I20190817000345
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 |
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 | Parkersburg Radiology Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669478111
PECOS PAC ID: 6103712401
Enrollment ID: O20200205002366 |
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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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