Beth Rachelle Jaklic, M.D.

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

0101046986 Issued in VA

Practice address

1301 First Colonial Rd Ste 201
Virginia Beach, VA 23454-2263

Phone

(757) 419-4919

Fax

(757) 419-4898

NPI assigned

Jan 20, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General SurgeryAlso: Colorectal Surgery (Proctology)

Education

University of Virginia School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Health and Cancer Prevention PCGroup PAC ID 9638275183, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.57 of 100Reported as group

Quality

87.01

Promoting interoperability

100

Improvement activities

40

Cost

81.57

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: beth.jaklic.1@11889.direct.athenahealth.com
• Direct secure messaging: beth.jaklic.1@5072.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Health and Cancer Prevention PC

  • Specialist
  • Virginia Beach, VA
  • NPI 1467556043
  Medicare reassignment Care Compare group
• Chesapeake Regional Medical Group

  • Surgery Physician
  • Chesapeake, VA
  • NPI 1699940270
  Medicare reassignment NPD
• Chesapeake Regional Medical Group

  • Urgent Care Clinic/Center
  • Chesapeake, VA
  • NPI 1255215133
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1396725636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 OCEAN MIST CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234541230",
            "telephone_number": "757-650-3047",
            "fax_number": "757-419-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 FIRST COLONIAL RD STE 201",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542263",
            "telephone_number": "757-419-4919",
            "fax_number": "757-419-4898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Gainsborough Sq Ste 400",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233201714",
            "country_code": "US",
            "telephone_number": "757-842-4499",
            "fax_number": "757-842-4490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAKLIC",
        "first_name": "BETH",
        "middle_name": "RACHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "VA",
            "license": "0101046986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serena Jaecques, OTR/L
• Ashley L Jaeger, LPC
• Wendy B Jaffe, PT
• Sudha Jagarlamudi, MD
• Vivek Kumar Jain, M.D.
• Kristen D Jalbert, M.D.
• Mohammed Hazeq Jamal
• James F Allen MD PC
• James J Bukovac DDS PC
• James J Bukovac DDS PLLC

• Colon & Rectal Surgery Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Colon & Rectal Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.