MR. WAYNE DOUGLAS MEDDOCK LMHC
NPI 1033126875
Counselor - Mental Health in Fort Myers, FL
About Mr. Wayne Douglas Meddock Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. WAYNE DOUGLAS MEDDOCK LMHC (NPI 1033126875) is an individual mental health provider in Fort Myers, Florida, licensed in Florida (MH2606) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1981).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Wayne Douglas Meddock Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Wayne Meddock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Myers, FL 33907
- Reassigned Medicare billing, Florida enrollment
- Medicare enrollment name: Dna Comprehensive Therapy Services LLC
- 618 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT MYERS, FL 33966
FORT MYERS, FL 33966
FORT MYERS, FL 33966
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Wayne Meddock's NPI number?
The NPI number for Wayne Meddock is 1033126875. It was assigned to this individual provider in the NPPES registry on August 2, 2006.
Where is Wayne Meddock located?
Wayne Meddock practices at 6360 Techster Blvd Ste 1, Fort Myers, FL 33966. The listed phone number is (239) 223-2751.
What is Wayne Meddock's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Wayne Meddock enrolled in Medicare?
Yes. Wayne Meddock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Wayne Meddock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Wayne Meddock reassigns Medicare benefits to Snh Fla Tenant LLC (Fort Myers, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wayne Meddock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Wayne Meddock was last updated on January 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Wayne Douglas Meddock, LMHC · NPI 1033126875
Mental Health provider in Fort Myers, Florida. Individual provider, active in the CMS NPPES registry since August 2, 2006.
## Identity
- **NPI:** 1033126875 (Entity type: Individual)
- **Enumerated:** August 2, 2006
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MH2606 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 6360 TECHSTER BLVD STE 1, Fort Myers, FL 33966-4805
- **Phone:** (239) 223-2751
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Snh Fla Tenant LLC (NPI 1801443692, Fort Myers, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1981
## Record status
- **NPPES last updated:** January 24, 2018
- **Other identifiers:** Medicaid 768549100 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1033126875) · Data from the CMS NPPES public registry.