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 and fill them in so they are processed quickly. You can also electronically sign some of our forms. We have help available if you use assistive technology or need an interpreter.

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