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

Use 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: 8 June 2017

This information was printed Wednesday 28 June 2017 from It may not include all of the relevant information on this topic. Please consider any relevant site notices at when using this material.