MR. ELMO GLENN TUCKER MD
NPI 1164402053
Emergency Medicine in Belfast, ME
About Mr. Elmo Glenn Tucker Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ELMO GLENN TUCKER MD (NPI 1164402053) is an individual emergency medicine provider in Belfast, Maine, licensed in Connecticut (029674) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Elmo Glenn Tucker Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Elmo Tucker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Belfast, ME 04915
- Reassigned Medicare billing, Maine enrollment
- Medicare enrollment name: Waldo County General Hospital
- 82 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04915 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Elmo Tucker's NPI number?
The NPI number for Elmo Tucker is 1164402053. It was assigned to this individual provider in the NPPES registry on January 18, 2006.
Where is Elmo Tucker located?
Elmo Tucker practices at 118 Northport Ave, Belfast, ME 04915. The listed phone number is (207) 338-9324.
What is Elmo Tucker's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Elmo Tucker enrolled in Medicare?
Yes. Elmo Tucker is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Elmo Tucker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elmo Tucker reassigns Medicare benefits to Mainehealth (Belfast, ME). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elmo Tucker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Elmo Tucker was last updated on August 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Elmo Glenn Tucker, MD · NPI 1164402053
Emergency Medicine physician in Belfast, Maine. Individual provider, active in the CMS NPPES registry since January 18, 2006.
## Identity
- **NPI:** 1164402053 (Entity type: Individual)
- **Enumerated:** January 18, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 029674 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 118 NORTHPORT AVE, Belfast, ME 04915
- **Phone:** (207) 338-9324 · **Fax:** (207) 338-6820
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mainehealth (NPI 1841397932, Belfast, ME), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 26, 2015
- **Other identifiers:** Medicare UPIN E42362 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1164402053) · Data from the CMS NPPES public registry.