Application for a Medicare provider number or prescriber number for allied health, other primary health care, and non-medical health professionals form (HW093)

Use this form if you are applying for an initial or additional Medicare provider number or a PBS prescriber number or both.

You must download our forms to fill them in. We have help available if you use assistive technology or if you need a translator or interpreter. Find out how to use our forms.

Download and complete the Application for a Medicare provider number or prescriber number for allied health, other primary health care, and non-medical health professionals form.

You can also apply for Medicare provider numbers using Health Professional Online Services (HPOS).

When applying online, you’ll need a PRODA account to use HPOS.

Page last updated: 1 November 2025.
QC 51228