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How To Obtain A Medicare Provider Number Quickly

How To Obtain A Medicare Provider Number Quickly

A step-by-step guide to obtaining your Medicare provider number through PRODA, including screenshots and detailed instructions for healthcare professionals.

Dr. Louis J Sisk

BSc(Hons) MBChB MRCS(Glasg) MTrauma(Dist) APRCSA


Obtaining a Medicare provider number is an important step for healthcare professionals who need to provide Medicare-billed services at a new practice location. This guide walks through the PRODA process, with screenshots and practical details for a Doccy provider-number application.

Step 1: Access Provider Number Section

PRODA Login Page

PRODA Login Page - First step to accessing your Medicare provider number

  • Go to the PRODA website.
  • Navigate to 'My Details'.
  • Click on 'My Provider Numbers'.

Step 2: Create a New Provider Location

  • Select 'Create a New Provider Location'.
  • Confirm your eligibility to proceed.

Step 3: Choose the Correct Options

Provider Location Type Selection

Selecting the appropriate provider location type - avoid Medicare Urgent Care Centre option

  • Do not select 'Medicare Urgent Care Centre'.
  • Choose the correct type (not home or school).

Step 4: Enter the practice postcode

Hospital Postcode Entry

Entering the hospital postcode - Example shown for Inverell Hospital (2360)

  • Enter the postcode for the practice location. For Doccy, use 3066.

Step 5: Enter the practice address

Hospital Address Details

Entering the hospital's street address and location details

  • Enter the practice street address. For Doccy, use:
    • Level 4, 54 Wellington Street
    • Collingwood
    • VIC 3066
  • Click 'Next'.

Step 6: Input contact information

Hospital Contact Information

Adding the hospital's contact telephone number (02-67-21-95-67)

  • Enter the practice contact telephone number supplied for the application.
  • Mobile number is optional.

Step 7: Fill in Additional Information

Deployment Details

Specifying deployment date and type for the provider number

  • Enter today's date.
  • Specify the deployment type.

Step 8: Add the contracting organisation

Organisation Search
Searching for the hospital's ABN in the NSW database
  • Click 'Add Organisation'.
  • Search by ABN. For Doccy, enter 97 664 354 107.
  • Confirm the organisation details are for Doccy Pty Ltd, with the Collingwood address above.
  • If PRODA cannot find the organisation, verify the ABN through the Australian Business Register.

Step 9: Ensure No Spaces in Entries

Entry Format Check

Verifying that all entries are properly formatted without extra spaces

  • Make sure there are no spaces in the entries.

Step 10: Submit Location

Bank Details and Submission

Adding bank details for potential surgical assistance payments

  • Add the bank details required for the provider location, if prompted.
  • Review all entered details.
  • Click 'Submit Location'.

Step 11: Confirmation of New Medicare Number

Medicare Number Confirmation

Success! Your new Medicare provider number is ready for use

  • Check your HPOS mailbox for confirmation of the outcome.
  • Processing time depends on the application and whether Services Australia needs supporting documents. New additional provider numbers should not be used for claims until two business days after issue.

Summary

The online application process is straightforward. The key steps involve:

  1. Creating a PRODA account
  2. Completing the Medicare provider number application
  3. Adding your practice location details
  4. Submitting your bank details
  5. Checking your HPOS mailbox for the outcome

Provider numbers are connected to practice locations, so confirm the required details before each application. If Services Australia requests supporting documents, the application may take longer to finalise.

For current eligibility and processing requirements, read Services Australia's guidance on additional provider numbers. For more information about how provider numbers differ from prescriber numbers, read Medlo's guide to Medicare provider and prescriber numbers.

Frequently Asked Questions

Can I work without a Medicare provider number?

You need an eligible Medicare provider number to claim, bill, refer or request Medicare services at that practice location. Your employer or practice can confirm any requirements that apply before you begin clinical work.

How long does it take to get a Medicare provider number?

The online application can be completed quickly, but approval time varies. Services Australia may need supporting documents, and additional provider numbers should not be used for claims until two business days after issue. Check your HPOS mailbox for the outcome.

Do I need a new provider number for each hospital?

You may need a separate Medicare provider number for each practice location where you deliver health services. Provider numbers are location-specific, unlike prescriber numbers, which are not location-specific. Confirm the required provider-number arrangement with the practice before starting.

What if I make a mistake in my provider number application?

If you notice an error in your application before submitting, you can simply go back and correct it. However, if you've already submitted the application and received your provider number, you'll need to contact Medicare directly to make any corrections. It's best to double-check all information carefully before final submission to avoid any delays in getting your correct provider number.

What's the difference between a provider number and a patient Medicare number?

A provider number is issued to healthcare professionals and is location-specific, while a patient Medicare number is the 11-digit number on a patient's green Medicare card. Provider numbers are 8 characters (including a check digit), whereas patient Medicare numbers follow a different format with a checksum algorithm. Need to validate a patient's Medicare card? Use Doccy's [Medicare Number Validation Tool](/medicare-number-validation).