Application for an initial Medicare provider number for a medical practitioner form (HW019)

Complete this form to apply for a Medicare provider number for the first time. Your application and supporting documentation should be sent to Medicare Australia prior to your proposed commencement date.

Page last updated: 5 February 2016

This information was printed Monday 29 August 2016 from humanservices.gov.au/health-professionals/forms/hw019 It may not include all of the relevant information on this topic. Please consider any relevant site notices at humanservices.gov.au/siteinformation when using this material.