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

Complete this form if you are an existing Medicare provider applying for a Medicare provider number for a new location, to re-open a closed location or to close an existing Medicare provider number. Your application and supporting documentation should be sent to the Australian Government Department of Human Services prior to your proposed commencement date.

 

Page last updated: 5 February 2016

This information was printed Thursday 25 August 2016 from humanservices.gov.au/health-professionals/forms/hw062 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.