Stacy Echetebu, MD - Medicare Pediatric Medicine in Tyler, TX

Stacy Echetebu, MD is a medicare enrolled "Pediatrics" physician in Tyler, Texas. She went to Texas Tech University Health Science Center School Of Medicine and graduated in 2025 and has 0 years of diverse experience with area of expertise as Pediatric Medicine. Her current practice location is 1000 E 5th St Ste 100, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 590-5000.

Stacy Echetebu is licensed to practice in Texas (license number V7505) 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 1528497955.

Contact Information

Stacy Echetebu, MD
1000 E 5th St Ste 100,
Tyler, TX 75701-3307
(903) 590-5000
(903) 590-5005

Map and Direction




Physician's Profile

Full NameStacy Echetebu
GenderFemale
SpecialityPediatric Medicine
Experience0 Years
Location1000 E 5th St Ste 100, Tyler, Texas
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:
  • Stacy Echetebu attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2025
  NPI Data:
  • NPI Number: 1528497955
  • Provider Enumeration Date: 11/06/2013
  • Last Update Date: 07/25/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6901305911
  • Enrollment ID: I20250818000859

Medical Identifiers

Medical identifiers for Stacy Echetebu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528497955NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics V7505 (Texas)Primary

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. Stacy Echetebu 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
Stacy Echetebu, MD
1000 E 5th St Ste 100,
Tyler, TX 75701-3307

Ph: (903) 590-5000
Stacy Echetebu, MD
1000 E 5th St Ste 100,
Tyler, TX 75701-3307

Ph: (903) 590-5000

Reviews and Comments


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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.

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