Application for an additional location Medicare provider number for a medical practitioner form (HW062)

Use this form to apply for a Medicare provider number for a new location, to re-open a closed location or to close an existing Medicare provider number.

You must be an existing Medicare provider with a current registration in the state or territory in which you intend to practise to use this form.

This form can be completed online. Read more about HPOS.
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Page last updated: 8 June 2017

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