Get Application For An Additional Location Medicare Provider Number For ... - Medicareaustralia Gov

Filling out the Application For An Additional Location Medicare Provider Number is essential for medical practitioners seeking to establish a new practice or adjust their current registration. This guide will walk you through each section of the application, ensuring you have the necessary information to complete it correctly.

Follow the steps to successfully complete your application online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with providing your personal details, including your existing Medicare provider number, full name, and date of birth.
3. Update your residency status if it has changed since your last application. Indicate whether you have become an Australian citizen or a permanent resident.
4. Enter your personal contact details, ensuring all fields are filled accurately for effective communication.
5. Specify the required location by providing the physical address where you will render services. Be sure to include practice details such as name and contact numbers.
6. Indicate the role you will perform at this location, whether referring, requesting, or providing services.
7. If applicable, complete the section to close any existing practice locations.
8. If your practice claims online, make sure to fill out sections regarding Medicare Online and Easyclaim usage.
9. Complete the bank account details section for electronic funds transfer payments.
10. Read through the privacy note and declaration, ensuring all provided information is correct before signing.
11. After filling out all necessary sections, you can save changes, download, print, or share the completed form.

Complete your Application For An Additional Location Medicare Provider Number online today!