Dr Eleisha Jean Nickoles, DDS - Medicare Dentist in Jefferson City, TN

  1. Home
  2. Dentists
  3. TN
  4. Jefferson City
Dr Eleisha Jean Nickoles, DDS is a medicare enrolled "Dentist" provider in Jefferson City, Tennessee. She graduated from medical school in 2025 and has 1 years of diverse experience with area of expertise as Dentist. Her current practice location is 1413 Russell Ave, Jefferson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 471-5525.

Dr Eleisha Jean Nickoles is licensed to practice in Tennessee (license number 12971) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1053400309.

Contact Information

Dr Eleisha Jean Nickoles, DDS
1413 Russell Ave,
Jefferson City, TN 37760-2562
(865) 471-5525
(865) 471-5526

Map and Direction




Healthcare Provider's Profile

Full NameDr Eleisha Jean Nickoles
GenderFemale
SpecialityDentist
Experience1 Years
Location1413 Russell Ave, Jefferson City, Tennessee
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Eleisha Jean Nickoles graduated from medical school in 2025
  NPI Data:
  • NPI Number: 1053400309
  • Provider Enumeration Date: 10/12/2006
  • Last Update Date: 08/19/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3476871732
  • Enrollment ID: I20260603000982

Medical Identifiers

Medical identifiers for Dr Eleisha Jean Nickoles such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053400309NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 12971 (Tennessee)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 Eleisha Jean Nickoles allows following entities to bill medicare on her behalf.
Entity NameRural Medical Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962443697
PECOS PAC ID: 1456384080
Enrollment ID: O20050914001081

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 Eleisha Jean Nickoles 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 AddressPractice Location Address
Dr Eleisha Jean Nickoles, DDS
370 Leeper Overlook,
Dandridge, TN 37725-5073

Ph: (865) 471-5525		Dr Eleisha Jean Nickoles, DDS
1413 Russell Ave,
Jefferson City, TN 37760-2562

Ph: (865) 471-5525

Reviews and Comments


Dentist in Jefferson City, TN

Dr. Steven Jarvis Monroe, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 156 W. Broadway Blvd., Jefferson City, TN 37760
Phone: 865-475-7901    Fax: 865-475-8133
Dr. Bruce A. Bell, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 683 E Broadway Blvd, Jefferson City, TN 37760
Phone: 865-475-8331    Fax: 865-475-4631
Warren Kent Stinson, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 113 E Broadway Blvd, Jefferson City, TN 37760
Phone: 865-475-2762    Fax: 865-475-7053
Dr. Richard Joseph Miller, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 454 E Broadway Blvd, Jefferson City, TN 37760
Phone: 865-475-4426    Fax: 865-475-5523
Dr. Blair Elizabeth Cohen, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 735 E Broadway Blvd, Jefferson City, TN 37760
Phone: 865-475-7901    
Robert John Ludlow, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 154 W Broadway Blvd, Jefferson City, TN 37760
Phone: 865-350-0038    
Dr. Walter Stuart Tipton, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1205 George Ave, Jefferson City, TN 37760
Phone: 865-475-8988    Fax: 865-475-1103

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.