Jacqueline Suzanne Hasbrouck, CRNP in York, PA

Jacqueline Suzanne Hasbrouck, CRNP is a medicare enrolled "Internal Medicine - Advanced Heart Failure And Transplant Cardiology" physician in York, Pennsylvania. She graduated from medical school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Good Samaritan Physician Services and her current practice location is 30 Monument Rd Ste 1100, York, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (717) 851-6000.

Jacqueline Suzanne Hasbrouck is licensed to practice in Pennsylvania (license number SP028224) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093589822.

Contact Information

	Jacqueline Suzanne Hasbrouck, CRNP
	30 Monument Rd Ste 1100, York, PA 17403-5024
	(717) 851-6000
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacqueline Suzanne Hasbrouck
Gender	Female
Speciality	Nurse Practitioner
Experience	2 Years
Location	30 Monument Rd Ste 1100, York, Pennsylvania
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacqueline Suzanne Hasbrouck graduated from medical school in 2023

NPI Data:

NPI Number: 1093589822
Provider Enumeration Date: 11/13/2023
Last Update Date: 11/05/2025

Medicare PECOS Information:

PECOS PAC ID: 4789028986
Enrollment ID: I20240215002306

Medical Identifiers

Medical identifiers for Jacqueline Suzanne Hasbrouck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093589822	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RA0001X	Internal Medicine - Advanced Heart Failure And Transplant Cardiology	SP028224 (Pennsylvania)	Primary
363LA2100X	Nurse Practitioner - Acute Care	SP028224 (Pennsylvania)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
York Hospital	York, PA	Hospital
Gettysburg Hospital	Gettysburg, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Good Samaritan Physician Services	5496728172	96

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. Jacqueline Suzanne Hasbrouck allows following entities to bill medicare on her behalf.

Entity Name	Good Samaritan Physician Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558749846 PECOS PAC ID: 5496728172 Enrollment ID: O20040819000854

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. Jacqueline Suzanne Hasbrouck 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
Jacqueline Suzanne Hasbrouck, CRNP 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-1405	Jacqueline Suzanne Hasbrouck, CRNP 30 Monument Rd Ste 1100, York, PA 17403-5024 Ph: (717) 851-6000

Reviews and Comments

Internal Medicine Doctors in York, PA

Mustafa Tahir, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1001 S George St, York, PA 17403 Phone: 717-741-8003 Fax: 717-741-8016
Robert A Fritz, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1777 5th Ave, York, PA 17403 Phone: 717-843-8051 Fax: 717-846-0721
Husnain Ali, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1001 S George St, York, PA 17403 Phone: 717-741-8003 Fax: 717-741-8016
Dr. Aruna Chelliah, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 292 Saint Charles Way, York, PA 17402 Phone: 717-851-6231 Fax: 717-741-1719
Ali Abbas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2690 Southfield Dr Ste A, York, PA 17403 Phone: 717-741-1414 Fax: 717-741-4774
Amna Chaudary, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 S George St, York, PA 17403 Phone: 717-741-8003 Fax: 717-741-8016
Zaid Alnoah, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2350 Freedom Way Ste 200, York, PA 17402 Phone: 717-812-5120 Fax: 717-741-3075

Jacqueline Suzanne Hasbrouck, CRNP - Medicare Nurse Practitioner in York, PA