Mrs Liberty Jo Schuller, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Coronado, California. She graduated from nursing school in 2010 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Southern California Permanente Medical Group and her current practice location is
809 1st St, Coronado, California. You can reach out to her office (for appointments etc.) via phone at
(619) 564-4767.
Mrs Liberty Jo Schuller is licensed to practice in California (license number 571135) 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 1679880322.
Provider's Profile
| Full Name | Mrs Liberty Jo Schuller |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 16 Years |
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| Location | 809 1st St, Coronado, California |
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| 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:
- Mrs Liberty Jo Schuller graduated from nursing school in 2010
NPI Data:
- NPI Number: 1679880322
- Provider Enumeration Date: 09/01/2010
- Last Update Date: 12/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 5698957231
- Enrollment ID: I20110303000410
Medical Identifiers
Medical identifiers for Mrs Liberty Jo Schuller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679880322 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | 571135 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Southern California Permanente Medical Group | 6002729175 | 11244 |
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. Mrs Liberty Jo Schuller allows following entities to bill medicare on her behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
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| Entity Name | United Medical Doctors |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770559981 PECOS PAC ID: 2961305651 Enrollment ID: O20040129001069 |
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| Entity Name | Endoscopy Center Of The South Bay Lp |
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| Entity Type | Part B Supplier - Ambulatory Surgical Center |
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| Entity Identifiers | NPI Number: 1053391169 PECOS PAC ID: 8628022498 Enrollment ID: O20050304000646 |
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| Entity Name | La Jolla Endoscopy Center Lp |
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| Entity Type | Part B Supplier - Ambulatory Surgical Center |
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| Entity Identifiers | NPI Number: 1407829773 PECOS PAC ID: 0648371419 Enrollment ID: O20070723000905 |
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| Entity Name | Murrieta Anesthesia Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083847099 PECOS PAC ID: 7911033808 Enrollment ID: O20100330001007 |
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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. Mrs Liberty Jo Schuller 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 |
Mrs Liberty Jo Schuller, RN 809 1st St, Coronado, CA 92118-1301 Ph: (619) 564-4767 | Mrs Liberty Jo Schuller, RN 809 1st St, Coronado, CA 92118-1301 Ph: (619) 564-4767 |
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