If you plan to see patients in clinics or private settings as a locum, you’ll need a Medicare provider number. This guide covers how to set it up efficiently so you can bill legally in Australia.
1. Why you need a Medicare provider number
- Enables billing for Medicare-rebatable services.
- Essential for private and outpatient locum work for pathology, radiology and referral
- Required by many hospitals during credentialing.
2. The process using PRODA
Step 1: Create a PRODA account
- PRODA is the digital identity service used by health providers.
- Visit the PRODA registration portal and verify identity (driver’s licence, passport, etc.).
Step 2: Apply for Medicare provider number
- Once PRODA is active, log in to the Medicare provider portal.
- Complete the “Apply for a provider number” form.
Step 3: Submit supporting documents
You may need:
- AHPRA registration
- Indemnity insurance proof
- Referee details and curriculum vitae
- Copies of Medical Board registration
Step 4: Wait for approval
- The average turnaround is 10-14 days if documents are correct.
- Delays often occur due to missing identity checks or mismatched residency status.
3. Tips to speed up approval
- Double check all personal info matches across systems (PRODA, AHPRA, Medicare).
- Avoid incorrect spelling or old names on documents.
- Check the “Location” on the application; remote areas sometimes require additional approvals.
- Follow up regularly via the Medicare portal.
4. What to expect when approved
- Provider number visible in Medicare portal.
- Can be used for private outpatient/liberal work and locum clinics.
- Must be renewed or confirmed periodically depending on state rules.
This is only available to Australian trained, Australian permanent citizens. For all other doctors (you need to submit a manual registration via email and fill out this document)
https://www.servicesaustralia.gov.au/hw019
.svg)
