Applying for a Medicare provider number

How to apply for your initial and additional provider numbers.

Automatic 6 month extensions will be granted for 3GA placements and 19AB exemptions that expire between 1 May 2020 and 31 October 2020. This is to help you meet your conditions during coronavirus (COVID-19). The extension starts from the expiry date of your program.

If your approved extension expires before 31 October 2020, you don’t need to do anything. We're processing these now. We’ll write to you with your new conditions and expiry date soon.

Placements and exemptions expiring from 1 November 2020 will not be automatically extended and the usual program rules will apply for you to meet your sections 19AA and 19AB conditions.

You must have a Medicare provider number before you can bill, refer or request services for Medicare. If you practice at more than one location, or change locations, you’ll need to apply for additional provider numbers.

Applying for an initial provider number

You can apply for your initial Medicare provider number if you’re either a:

  • health professional with a medical internship
  • registered and recognised health professional who wants to access Medicare services for the first time.

If you’re a registered health professional

You can apply for an initial provider number using a form. Select your profession to get the right form:

Once we process your application, we’ll send you a letter with your provider number.

Make sure you apply early, we’ll need some time to process your application. We get lots of applications during December to April. Your application may take longer during these months.

If you’re a medical intern

Some interns can get an initial provider number online.

If you trained in Australia or New Zealand with no conditions or notations, AHPRA will automatically send us your details. Then we’ll email you and tell you how to get your provider number using Health Professional Online Services (HPOS).

You’ll need to create a Provider Digital Access (PRODA) account and link it to HPOS. You can then apply for your provider number when you get your email.

This is the fastest way to get your provider number. You can apply for a prescriber number at the same time.

HPOS also allows you to:

  • view your application at any time
  • apply for additional provider numbers
  • update your contact and banking details
  • access the Find a Patient service to check patient details before making a Medicare claim.

Applying for additional provider numbers

You’ll need an additional Medicare provider number for each address you practice at, or if you change location. You can’t move your provider number from one address to another.

If you change health profession, you’ll need an additional provider number.

Use HPOS to apply for additional provider numbers. You can get one right away.

Read more about creating and managing provider numbers using HPOS.

Some health professionals can’t use HPOS to apply for additional provider numbers. This applies if you’re:

  • an overseas trained doctor
  • a foreign graduate of an accredited medical school
  • a specialist trainee
  • a nurse practitioner.

You’ll need to use the Application for a Medicare provider number and, or prescriber number for a medical practitioner form (HW019).

Page last updated: 13 October 2020