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.

Page last updated: 3 November 2016

This information was printed Tuesday 6 December 2016 from It may not include all of the relevant information on this topic. Please consider any relevant site notices at when using this material.