DR. ELISABETH DUNNING TUCKER (MD) – Obstetrics & Gynecology Physician, NPI 1497742977
Obstetrics & Gynecology Physician
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Profile Insights
NPPES metrics only — not quality of care.
1,734 OBSTETRICS/GYNECOLOGY in MI
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Provider Addresses for DR. ELISABETH DUNNING TUCKER (MD)
4601, Spanish Trail Road, Pensacola, Escambia County, Florida, 32504, United States
PENSACOLA, FL 325045039
Phone: (850) 432-9536
Fax: (850) 433-8940
Type: Mailing
UP Health System, 500, Campus Drive, Hancock, Houghton County, Michigan, 49930, United States
HANCOCK, MI 499301452
Phone: (906) 483-1050
Type: Location
4601 Spanish Trl
Pensacola, FL 325045039
Phone: (850) 432-9536
Fax: (850) 433-8940
Type: Location
181 Franklin Health Cmns
Farmington, ME 049386144
Phone: (207) 778-6394
Fax: (207) 778-2886
Type: Location
7259 S BINGHAM JUNCTION BLVD
MIDVALE, UT 840474860
Phone: (800) 453-3030
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-04-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110209000606 | I | Obstetrics/Gynecology | AL | TBD |
| I20161005001012 | I | Obstetrics/Gynecology | TX | TBD |
| I20171107002056 | I | Obstetrics/Gynecology | ME | TBD |
| I20180416001468 | I | Obstetrics/Gynecology | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32504)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | AL | |
| - | - | |
| Physician Assistant | VA | |
| Internal Medicine | AL | |
| Nurse Practitioner | AL | |
| N E U R O L O G Y | AL | |
| Internal Medicine | AL | |
| - | AL | |
| Family Practice | AL | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology | AL |
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