OpBill - OFFICE USE ONLY Welcome OpBill backend! This is your version only. The forms will go DIRECTLY to the forms@ email address, and will NOT be automatically sent. This is so you can check it and decide if you want to send this version. I have removed some areas of this form that are not required for you. 😉 CWL Send me the following forms AHSA Bupa Change Form Bupa NEW Form HCF New User & Adding PN HCF Change User Mildura Health Fund I am a * Surgical Assistant Surgeon Physician Have you ever billed Privately? Yes - I want to change to OpBill No - this is my first time Already using Opbill - Adding Provider Number Change of Details I am updating the following details (Select all that apply) * Personal details (Address/Phone/Email) Bank Details Adding Provider Number First Name * Last Name * Date of Birth * AHPRA Number * MUST include MED at the start please ABN If you do not provide an ABN here, you will not be able to bill WORKCOVER cases. Email * Mobile Number * Practice Phone Number Your Address * Suburb * State SELECTACT / NSWSAQLDVICTASWA Postcode * BANK DETAILS Where your money will be sent to Bank Name * Branch Address (Suburb Only) * Account Name * BSB * Account Number * Please do not use spaces Bank Statement * Drop a file here or click to upload Choose File Maximum file size: 33.55MB When updating your details, BUPA REQUIRES confirmation of the bank account that you have nominated above. This is either a BANK DEPOSIT slip, CANCELLED CHEQUE or BANK STATEMENT for verification purposes. If you don't add this, we cannot update your BUPA details. This is required EACH TIME this form is completed. (8MB File Limit) Select STATE of practice * SELECT STATEACT / NSWQLDSA / NTTASVICWA Please note there is a limit of 11 provider numbers you can add to this form. If you require more than 11, please redo this form with ALL details completed PROVIDER NUMBERS - ACT / NSW If you know your Provider numbers, please enter them here. Click below to see our guide on how to obtain your provider numbers. Provider Number Please Select the Associated Hospital PLEASE SELECT HOSPITALACT Endoscopy, 2/70 Kent Street, Deakin, 2600Adori Day Clinic, 22 Mary Street, AUBURN, 2144Aesthetic Day Surgery, 14 Kensington Street, KOGARAH, 2217Albury Day Surgery, 4 Baker Court, Albury, 2640Albury-Wodonga Private Hospital, 1125 Pemberton Street, ALBURY, 2640Allowah Presbyterian Children's Hospital, 8 Perry Street, DUNDAS, 2117Alwyn Rehabilitation Hospital, 1 Emu Street, Strathfield, 2135Armidale Private Hospital, New England Regional Hospital, Armidale Campus, Rusden St, Armidale, 2350Ballina Day Surgery, Suite 6, 46 Tamar Street, Ballina, 2478Bankstown Primary Health Care Day Surgery, 67 Rickard Road, BANKSTOWN, 2200Baringa Private Hospital, 31 Mackays Road, Coffs Harbour, 2450Barton Private Hospital, 2/9 Sydney Avenue, BARTON, 2600Bathurst Private Hospital, Gorman's Hill Road, BATHURST, 2795Bathurst Private Hospital, Gorman's Hill Road, BATHURST, 2795Bega Valley Private Hospital, 31 Parker Street, BEGA, 2550Berkeley Vale Private Hospital, 8 Lorraine Avenue, Berkeley Vale, 2261Blacktown Hospital, 18 Blacktown Rd, Blacktown NSW, 2148Bondi Junction Endoscopy Centre, 56 Grosvenor Street, Woollahra, 2025Bondi Junction Private Hospital, Level 1, 21 Spring Street, BONDI JUNCTION, 2022Boulevarde Day Surgical Centre, 8, 164-168 The Boulevarde, FAIRFIELD HEIGHTS, 2165Brindabella Endoscopy Centre, 5 DANN CLOSE, GARRAN, 2605Brisbane Waters Private Hospital, 21 Vidler Avenue, WOY WOY, 2256Bump IVF, 2/357 Military Road, Mosman, 2088Burwood Endoscopy Centre, 282 Burwood Road, Burwood, 2134Calvary Hospital, Canberra, Haydon Dr & Belconnen Way, Bruce ACT, 2617Calvary John James Hospital, Strickland Crescent & 12 Napier Close, DEAKIN, 2600Calvary Private Hospital ACT, Haydon Drive, BRUCE, 2617Calvary Riverina Hospital, Hardy Avenue, Wagga Wagga, 2650Calvary Riverina Surgicentre Wagga Wagga, 329, 331, 333 Edward Street, WAGGA WAGGA, 2650Campbelltown Hospital, Therry Rd, Campbelltown NSW, 2560Campbelltown Private Hospital, 42 Parkside Crescent, CAMPBELLTOWN, 2560Campsie Day Surgery, 56-58 Campsie Street, Campsie, 2194Canberra Hospital, Yamba Dr, Garran ACT, 2605Canberra Imaging Group - Angiography Interventional Suite, Strickland Crescent, DEAKIN, 2600Canberra Microsurgery, 16 Wilbow Street, Phillip, 2606Canberra Private Hospital, 70 Kent Street, Deakin, 2600Canberra Surgicentre, Suite 2, Scala House Torrens, 11 Torrens Street, BRADDON, 2612Canterbury Hospital (PUB), 575 Canterbury Rd, Campsie, 2194Castle Hill Hospital, 72 - 74 Cecil Avenue, CASTLE HILL, 2154Castlecrag Private Hospital, 150 Edinburgh Road, Castlecrag, 2068Central Coast Day Hospital, Suite1, 2 Ilya Avenue, ERINA, 2250Centre for Digestive Diseases, Level 1, 229 Great North Road, Five Dock, 2046Charlestown Private Hospital, Level 3, 250 Pacific Hwy, Charlestown, 2290Chatswood Private Hospital, 1/38B Albert Avenue, Chatswood, 2067City East Specialist Day Hospital, 225 Maroubra Road, MAROUBRA, 2035City West Specialist Day Hospital, 30 Mons Road, Westmead, 2145Coffs Harbour Day Surgical Centre, 69 Albany Street, Coffs Harbour, 2065Coffs Harbour Health Campus, 345 Pacific Hwy, Coffs Harbour NSW 2450Concord Private Hospital, 55-57 Burwoord Road, Concord, 2137Concord Repatriation General Hospital, Hospital Rd, Concord NSW , 2139Coolenberg Day Surgery, 60 Lake Road, PORT MACQUARIE, 2444Crows Nest Day Surgery, Level 1,22-26 Clarke Street, CROWS NEST, 2065Dalcross Adventist Hospital, 28 Stanhope Road, Killara, 2071Dee Why Endoscopy Unit, 21/818 Pittwater Road, Dee Why, 2099Delmar Private Hospital, 58 Quirk Street, Dee Why, 2099Diagnostic Endoscopy Centre, 601/438 Victoria Street, Darlinghurst, 2010Double Bay Day Hospital, Level 2 451 New South Head Rd, Double Bay, 2028Drummoyne Day Surgery Centre, Level 3, 135 Victoria Road, DRUMMOYNE, 2047Dubbo Private Hospital, River Street, Dubbo, 2830Dudley Private Hospital, 261 March Street, ORANGE, 2800East Sydney Private Hospital, 75-85 Crown Street, East Sydney, 2010Eastern Heart Clinic, L3, Campus Centre Building, Prince of Wales Campus, Barker Street, RANDWICK, 2031Eastern Suburbs Endoscopy Clinic, Suite 1903, Plaza Tower 1, 500 Oxford Street, Bondi Junction, 2022Eastern Suburbs Private Hospital, 8 Chapel Street, Randwick, 2031Epping Surgery Centre, Suite 3, 44-46 Oxford Street, EPPING, 2121Excel Endoscopy Centre, 490 Canterbury Road, CAMPSIE, 2194Figtree Private Hospital, 1 Suttor Place, FIGTREE, 2525Focus Eye Centre, 2 Middle Street, Kingsford, 2032Forster Private Hospital, 29-41 South Street, FORSTER, 2428Francis Street Ophthalmic Day Procedure Centre, 112 Francis Street, Richmond, 2753Fresenius Liverpool Private Dialysis Clinic, Level 2, 26 Castlereagh Street, Liverpool, 2170Genea Canberra, Suite 17B, 2 King Street, DEAKIN, 2600Genea Day Surgery, Level 4, 321 Kent Street, SYDNEY, 2000Genea Liverpool, 173-175 Bigge Street, Liverpool, 2170Genea Northwest, Suite 101, Level 1, 10 Norbrick Drive, Bella Vista, 2153Genesis Care Radiation Oncology Centre Albury Wodonga, Corner Borella Rd and East St, Albury, 2640Gosford Hospital, 91 Holden St, Gosford NSW, 2250Gosford Private Hospital, Burrabil Avenue, GOSFORD, 2250Hamilton Day Surgery Centre, 76 Jenner Parade, HAMILTON SOUTH, 2303Harley Place Day Surgery, Suite 605, Harley Place, 251 Oxford Street, BONDI JUNCTION, 2022Hawkesbury District Health Service, Cnr Macquarie & Day Streets, WINDSOR, 2756Healthwoods Specialist Centre, 53 Cowper Street, GRANVILLE, 2142Hirondelle Private Hospital, 10 Wyvern Avenue, Chatswood, 2067Holroyd Private Hospital, 123-129 Chetwynd Road, GUILDFORD, 2161Hornsby Ku-ring-gai Hospital, Palmerston Rd, Hornsby NSW, 2077Hunter Valley Private Hospital, 20 Mawson Street, Shortland, 2307Hunters Hill Private Hospital, 9 Mount Street, Hunters Hill, 2110Hurstville Private, 37 Gloucester Road, Hurstville, 2220Hyperbaric Health Sydney, Suite 1, 46-50 Kent Road, MASCOT, 2020Illawarra Private Cancer Care & Research Centre, 35 Denison Street, WOLLONGONG, 2500Inner West Endoscopy Centre, 311 Marrickville Road, Marrickville, 2204Insight Clinic Private Hospital, Level 5, 470 Wodonga Place, ALBURY, 2640John Hunter Hospital, Lookout Rd, New Lambton Heights NSW, 2305Kareena Private Hospital, 86 Kareena Road, Caringbah, 2229Kingsgrove Day Hospital, Level 1, 322 Kingsgrove Road, KINGSGROVE, 2208Kingsway Day Surgery, Level 1, 533 Kingsway, MIRANDA, 2228Lady Davidson Private Hospital, 434 Bobbin Head Road, NORTH TURRAMURRA, 2074Lake Macquarie Private Hospital, 3 Sydney Street, Gateshead, 2290Lakeview Private Hospital - 17-19 Solent Circuit, Baulkham Hills, 2153Lawrence Hargrave Private Hospital, 72 Phillip Street, Thirroul, 2515Lindfield Dialysis Clinic, 280 Pacific Highway, LINDFIELD, 2070Lingard Private Hospital, 23 Merewether Street, MEREWETHER, 2291Lismore Private Day Surgery, 77 Uralba Street, LISMORE, 2480Lithgow Community Private Hospital, 2 Col Drewe Drive, LITHGOW, 2790Liverpool Day Surgery, 105-119 Longstaff Avenue, Moorebank, 2170Liverpool Eye Surgery, Ground Floor, 1 Moore Street, Liverpool, 2170Liverpool Hospital, Elizabeth St & Goulburn Street, Liverpool NSW, 2170Longueville Private Hospital, 47 Kenneth Street, Longueville, 2066Macquarie St Day Surgery, Level 11, 187 Macquarie St, Sydney, 2000Macquarie University Hospital, 3 Technology Pl, Macquarie University NSW, 2109Macquarie University Hospital, 3 Technology Place, MACQUARIE PARK, 2109Maitland Private Hospital, 173 Chisholm Road, EAST MAITLAND, 2323Manly Waters Private Hospital, 17 Cove Avenue, MANLY, 2095Marie Stopes International Canberra, Level 1, Moore & Alinga Streets, CANBERRA CITY, 2601Marie Stopes International Newcastle, 163 Lambton Road, Broadmeadow, 2292Marie Stopes International Westmead, 27 Railway Parade, WESTMEAD, 2145Marsden Eye Surgery Centre, 152 Marsden Street, PARRAMATTA, 2150Mater Sydney Hospital, 35 Rocklands Road, NORTH SYDNEY, 2060Mayo Private Hospital, Lot 1 Potoroo Drive, TAREE, 2430Medica Oncology, Levels B2 & 6, 29-31 Dora Street, HURSTVILLE, 2220Metropolitan Rehabilitation Hospital, 275 Addison Road, PETERSHAM, 2049Metwest Surgical, 17 Hereward Highway, Blacktown, 2148Minchinbury Community Private Hospital, Rupertswood Road, Mount Druitt, 2040Miranda Day Surgery, 25/20-24 Gibbs St, Miranda, 2228Miranda Eye Surgical Centre, Suite 4, 16-22 Willock Avenue, MIRANDA, 2228Mogo Day Surgery, 2-4 Charles Street, MOGO, 2536Mosman Private Hospital, 1 Ellamatta Avenue, MOSMAN, 2088Mt Wilga Private Hospital, 66 Rosamond Street, HORNSBY, 2077Mugga Wara Endoscopy Centre, National Capital Private Hospital, Gilmore Crescent & Hospital Road, GARRAN, 2605National Capital Private Hospital, Gilmore Crescent & Hospital Road, GARRAN, 2605National Day Surgery - Sydney, Level 1, 1 Derby Street, KOGARAH, 2217Nepean Hospital (PUB), Derby Street, Kingswood, 2747Nepean Private Hospital, Barber Avenue, Kingswood, 2474NephroCare Newcastle Dialysis Clinic, Suite 402, Level 4, 670 Hunter Street, Newcastle, 2300Newcastle Endoscopy Centre, 8/20-22 Smith Street, Charlestown, 2290Newcastle Eye Hospital, 182 Christo Road, Waratah, 2298Newcastle Private Hospital, 14 Lookout Road, NEW LAMBTON HEIGHTS, 2305North Shore Private Hospital, Westbourne Street, ST LEONARDS, 2065North Shore Specialist Day Hospital, 176 Pacific Highway, GREENWICH, 2065Northern Beaches Hospital, 105 Frenchs Forest Road (West), Frenchs Forest, 2086Northern Cancer Institute - Frenchs Forest, Suite 3, Level 1, Building 1, 49 Frenchs Forest, FRENCHS FOREST, 2086Northern Cancer Institute St Leonards, Level 1, 38 Pacific Highway, St Leonards, 2065Northside Clinic, 2 Greenwich Road, GREENWICH, 2065Northside Cremorne Clinic, 3 Harrison Street, Cremorne, 2090Northside Macarthur Clinic, 92-96 Dumaresq Street, CAMPBELLTOWN, 2560Northside West Clinic, 23-27 Lytton Street, Wentworthville, 2145Norwest Day Hospital, Suite 102, 9 Norbrik Drive, BELLA VISTA, 2153Norwest Private Hospital, 11 Norbrik Drive, Norwest Business Park, Bella Vista, 2153Nowra Private Hospital, Weeroona Place, NOWRA, 2541Oral Surgery Day Centre, Suite 10, 16-18 Malvern Avenue, CHATSWOOD, 2067Orange Eye Centre, 267-277 Lords Place, ORANGE, 2800Orange Health Service, 1502 Forest Rd, Orange NSW, 2800Orange Surgery Centre, 60-62 McNamara Street, ORANGE, 2800Parramatta Eye Centre, Suite 19, 34 Charles Street, Parramatta, 2150Pendlebury Clinic Private Hospital, Suite 3, 52 Pendlebury Road, CARDIFF, 2285Peninsula Sleep Clinic, Level 2, Building 1, 49 Frenchs Forest Road, FRENCHS FOREST, 2086Pennant Hills Day Surgery, 361 Pennant Hills Road, PENNANT HILLS, 2120Perfect Vision Eye Surgery, Suite 3 "The Madison" 25-29 Hunter Street, HORNSBY, 2077Pittwater Day Surgery, 202/20 Bungan Street, Mona Vale, 2103Port Macquarie Ophthalmic Surgery, 35 Ackroyd Street, Port Macquarie, 2444Port Macquarie Private Hospital, Lake Road, PORT MACQUARIE, 2444President Private Hospital, 369-381 President Avenue, KIRRAWEE, 2232Prince of Wales Hospital (Sydney), Barker St, Randwick NSW, 2031Prince of Wales Private Hospital, Levels 5-7, Ambulatory Care Services Centre Building, Prince of Wales Campus, Barker Street, RANDWICK, 2031Radiation Oncology Institute, 185 Fox Valley Road, Wahroonga, 2076Randwick Day Surgery, 2 Eurimbla Avenue, RANDWICK, 2031Regional Imaging Cardiovascular Centre, Calvary Hospital, 36, Hardy Avenue, WAGGA WAGGA, 2650Riverina Cancer Care Centre, Calvary Private Hospital, Hardy Avenue, WAGGA WAGGA, 2650Riverina Day Surgery, 2-6 Meurant Avenue, Wagga Wagga, 2650Rosebery Day Surgery, 308 Gardeners Road, ROSEBERY, 2018Rosemont Endoscopy Centre, 56 Rosemont Street, WOLLONGONG, 2500Royal Alexandra Hospital for Children, 212 Hawkesbury Rd, Westmead NSW, 2145Royal North Shore Hospital, Reserve Rd, St Leonards NSW, 2065Royal Prince Alfred Hospital, Missenden Rd, Camperdown NSW, 2050Royal Rehab Private, 235 Morrison Road, Ryde, 2112Shellharbour Private Hospital, 27 Captain Cook Drive, BARRACK HEIGHTS, 2528Sight Foundation Theatre, Sydney Eye Hospital, Level 3 Clinical Building, 8 Macquarie Street, SYDNEY, 2000Skin and Cancer Foundation (Westmead) Day Procedure Centre, 7 Ashley Lane, WESTMEAD, 2145Skin and Cancer Foundation Australia, 121 Crown Street, Darlinghurst, 2010Sole Vita Surgery, 7 Phipps Close, DEAKIN, 2600South Coast Private, 112 Burelli Street, Wollongong, 2500South Pacific Private Hospital, 24 Beach Street, Curl Curl, 2096South Western Endoscopy Centre, 20-22 Bigge Street, LIVERPOOL, 2170Southern Highlands Private Hospital, 99 Bowral Street, BOWRAL, 2576Southern Medical Day Care Centre, 410 Crown Street, WOLLONGONG, 2500Southern Respiratory and Sleep Disorder Centre, Level 2, Sutherland Hospital, The Kingsway, Caringbah, 2229Southern Suburbs Day Procedure Centre, 47 Regent Street, KOGARAH, 2217Southline Eye Surgery Centre, Suites 1-3, Macquarie House, 8-10 Woniora Road, HURSTVILLE, 2220Southside Cancer Care Centre, Level 3, 531-533 The Kingsway, MIRANDA, 2228St George Hospital (Sydney), Gray St, Kogarah NSW, 2217St George Private Hospital, 1 South Street, KOGARAH, 2217St John of God Burwood Hospital, 13-21 Grantham Street, BURWOOD, 2134St John of God Private Hospital - Richmond, 177 Grose Vale Road, NORTH RICHMOND, 2757St Luke's Hospital, 18 Roslyn Street, POTTS POINT, 2011St Vincent's Hospital, Sydney, 390 Victoria St, Darlinghurst NSW, 2010St Vincent's Private Community Hospital, 41-45 Animoo Ave, Griffith, 2680St Vincent's Private Hospital (Darlinghurst), 406 Victoria Street, DARLINGHURST, 2010St Vincents Private Hospital Lismore, Dalley Street, LISMORE, 2480Strathfield Private Hospital, 3 Everton Road, STRATHFIELD, 2135Surry Hills Day Hospital, 573 Crown Street, SURRY HILLS, 2010Sussex Day Surgery, Level 5, 401 Sussex Street, SYDNEY, 2000Sutherland Heart Clinic, Level 2, The Sutherland Hospital, The Kingsway, CARINGBAH, 2229Sydney Adventist Hospital, 185 Fox Valley Road, WAHROONGA, 2076Sydney Children's Hospital, High St, Randwick NSW, 2031Sydney Clinic for Gastrointestinal Diseases, Level 10, 1 Newland Street, BONDI JUNCTION, 2022Sydney Day Hospital, 187 Macquarie Street, Sydney, 2000Sydney Day Surgery - Prince Alfred, Suite 106, 100 Carillon Avenue, NEWTOWN, 2042Sydney Day Surgery, 213-219 Darlinghurst Road, DARLINGHURST, 2010Sydney Oculoplastic Surgery, Level 7, 229 Macquarie Street, SYDNEY, 2000Sydney Retina Clinic & Day Surgery, Level 13, 187 Macquarie Street, SYDNEY, 2000Sydney Southwest Private Hospital, 32-40 Bigge Street, LIVERPOOL, 2170Sydney Specialist Day Hospital, Suite 501, 7 Help Street, CHATSWOOD, 2067Sydney Surgical Centre, level 1 166-168 Belmore Road, Randwick, 2031Tamara Private Hospital, 2-6 Dean Street, TAMWORTH, 2340Tuggerah Lakes Private Hospital - 645 Pacific Highway, KANWAL, 2259The Cataract Clinic (Aust), 1 McClaren Street, NORTH SYDNEY, 2060The Double Bay Day Surgery, 20 Manning Road, Double Bay, 2028The Hills Clinic, 15-17 Memorial Avenue, Kellyville, 2155The Hills Private Hospital, 499 Windsor Road, BAULKHAM HILLS, 2153The SAN Day Surgery, 1a Northcote Road, HORNSBY, 2077The Sydney Clinic, 22-24 Murray Street, BRONTE, 2024The Sydney Private Hospital, 63 Victoria Street, ASHFIELD, 2131Toronto Private Hospital, Cary Street, TORONTO, 2283Tweed Day Surgery, Suite 4, 38-44 Boyd Street, TWEED HEADS, 2485Ulladulla Endoscopy & Medical Centre, 111 Princes Highway, ULLADULLA, 2539Vision Eye Institute, Chatswood, Levels 3 & 4, 270 Victoria Street, CHATSWOOD, 2067Wagga Endoscopy Centre, 50 Best Street, WAGGA WAGGA, 2650Waratah Private Hospital, Level 1, 31 Dora Street, Hurstville, 2220Warners Bay Private Hospital, Fairfax Road, WARNERS BAY, 2282Warringah Mall Day Surgery, 6-12 Dale Street, BROOKVALE, 2100Wesley Hospital Ashfield, 91 Milton Street, ASHFIELD, 2131Wesley Hospital Kogarah, 7 Blake Street, KOGARAH, 2217Western Sydney Private Oncology and Infusion Centre, Level 2, Westmead Specialist Centre, 16-18 Mons Road, Westmead, 2145Westmead Hospital, Cnr Hawkesbury Rd and Darcy Rd, WESTMEAD, 2145Westmead Private Hospital, Cnr Mons & Darcy Roads, Westmead, 2145Westmead Rehabilitation Hospital, 7 Coleman Street, MERRYLANDS, 2160Wollongong Day Surgery, 354-358 Crown Street, WOLLONGONG, 2500Wollongong Hospital, 252 Crown St, Wollongong NSW, 2500Wollongong Private Hospital, 360 - 364 Crown Street, Wollongong, 2500Wolper Jewish Hospital, 8 Trelawney Street, WOOLLAHRA, 2025 plus1 Add minus1 Remove PROVIDER NUMBERS - SA / NT If you know your Provider numbers, please enter them here. Click below to see our guide on how to obtain your provider numbers. Provider Number Please Select the Associated Hospital PLEASE SELECT HOSPITALAdelaide City East Day Hospital, Lvl 1 309 Wakefield St, Adelaide, 5000Adelaide Day Surgery, 18 North Terrace, Adelaide, 5000Adelaide Surgicentre, 89 King William St, KENT TOWN, 5067Ardrossan Community Hospital Inc, 37 Fifth Street, Ardrossan, 5571Ashford Community Hospital, 55 Anzac Highway, Ashford, 5035Bedford Day Surgery, 1284 South Road, CLOVELLY PARK, 5042Brighton Day Surgery, 1 Jetty Road, Brighton, 5048Calvary Adelaide Hospital, 120 Angus Street, Adelaide, 5000Calvary Central Districts Hospital, 25-37 Jarvis Road, ELIZABETH VALE, 5112Calvary North Adelaide Hospital, 89 Strangways Terrace, North Adelaide, 5006Calvary Wakefield Hospital, 300 Wakefield Street, ADELAIDE, 5000Darwin Day Surgery, Bld 3 Level 1, 7 Gsell Street,, WANGURI, 810Darwin Private Hospital, Rocklands Drive, Tiwi, 810Flinders Medical Centre, Flinders Dr, Bedford Park SA, 5042Flinders Private Hospital, 1 Flinders Drive, Bedford Park, 5042Gawler Health Service, 21 Hutchinson Rd, Gawler East, 5118Glen Osmond Surgicentre, 45 Glen Osmond Road, EASTWOOD, 5063Glenelg Community Hospital, 5 Farrell Street, Glenelg South, 5045Glenelg Day Surgery, 4 Gordon Street, Glenelg, 5045Greenhill Dental Day Surgery, 62 Greenhill Road, WAYVILLE, 5034Griffith Rehabilitation Hospital, 13 Dunrobin Road, Hove, 5048Hamilton House Day Surgery, 470 Goodwood Road, Cumberland Park, 5041Kahlyn Private Hospital, 40 Briant Road, MAGILL, 5072Keith & District Hospital Inc, 35 Hill Avenue, KEITH, 5267Lyell McEwin Hospital, Haydown Rd, Elizabeth Vale SA, 5112McLaren Vale & Districts War Memorial Hospital Incorporated, Aldersey Street, MCLAREN VALE, 5171Memorial Hospital, Sir Edwin Smith Avenue, NORTH ADELAIDE, 5006Modbury Dialysis Clinic, 97-99 Smart Road, MODBURY, 5092Modbury Hospital, Smart Rd, Modbury, 5092Mount Barker Hospital. 87 Wellington Rd, Mount Barker SA 5251Mount Gambier Private Hospital, 276-300 Wehl Street, NORTH MOUNT GAMBIER, 5290Nephrocare Payneham Dialysis Clinic, 2 Portrush Road, PAYNEHAM, 5070Noarlunga Private Hospital, Alexander Kelly Drive, NOARLUNGA CENTRE, 5168North Adelaide Day Surgery Centre, 174 Ward Street, NORTH ADELAIDE, 5006North Adelaide Gastroenterology Centre, 254 Melbourne Street, North Adelaide, 5006North Eastern Community Hospital Inc, 580 Lower North East Road, CAMPBELLTOWN, 5074Northern Endoscopy Centre, 127 Frost Road, SALISBURY SOUTH, 5106Northern Yorke Private Hospital, 1 Ernest Terrace, WALLAROO, 5556Norwood Day Surgery, 83 Kensington Road, NORWOOD, 5067NT Medical Specialist, 21 Vanderlin Drive, WANGURI, 810Oromax Day Surgery, Level 3, 1 Hutt Street, Adelaide, 5000Oxford Day Surgery Centre, 54 Oxford Terrace, UNLEY, 5061Parkside Cosmetic Surgery, 7 Unley Road, PARKSIDE, 5063Parkwynd Private Hospital, 137 East Terrace, ADELAIDE, 5000Queen Elizabeth Hospital, Adelaide, 28 Woodville Rd, Woodville South SA, 5011Royal Adelaide Hospital, North Terrace, Adelaide SA, 5000Sach Day Surgery, 341 South Terrace, ADELAIDE, 5000South Terrace Urology Day Surgery, 326 South Terrace, ADELAIDE, 5000Southern Endoscopy Centre, 271 Brighton Road, Somerton Park, 5144Sportsmed SA Hospital, 32 Payneham Road, STEPNEY, 5069St Andrew's Hospital Inc, 350 South Terrace, ADELAIDE, 5000Stirling Hospital Inc, 20 Milan Terrace, STIRLING, 5152Tennyson Centre Day Hospital, 520 South Road, KURRALTA PARK, 5037The Burnside War Memorial Hospital, 120 Kensington Road, Toorak Gardens, 5065Victor Harbor Private Hospital, Bay Road, VICTOR HARBOR, 5211Vista Day Surgery, Level 2, 57 Greenhill Road, WAYVILLE, 5034Waverley House Plastic Surgery Centre, 360 South Terrace, Adelaide, 5000West Lakes Day Surgery, 151 Brebner Drive, WEST LAKES, 5021Western Hospital, 168 Cudmore Terrace, HENLEY BEACH, 5022Women's and Children's Hospital, 72 King William Rd, North Adelaide SA, 5006 plus1 Add minus1 Remove PROVIDER NUMBERS - VIC If you know your Provider numbers, please enter them here. Click below to see our guide on how to obtain your provider numbers. Provider Number Please Select the Associated Hospital PLEASE SELECT HOSPITALAltona Endoscopy, Cnr Queen & Sargood Streets, ALTONA, 3018Appearance Medical Centre, 57 Garsed Street, BENDIGO, 3550Austin Hospital, Melbourne, 145 Studley Rd, Heidelberg VIC, 3084Ballan & District Soldiers' Memorial Bush Nursing Hospital, 33 Cowie Street, Ballan, 3342Ballarat Health Service, 1 Drummond St N, Ballarat Central, 3350Ballarat Day Procedure Centre, 1119-1123 Howitt Street, BALLARAT, 3350Ballarat Surgicentre, 5-9 Wood Street, Soldiers Hill, Ballarat, 3350Bayside Day Procedure and Specialist Centre, 141 Cranbourne Road, FRANKSTON, 3199Bayside Endoscopy Day Hospital, 441 South Road, BENTLEIGH, 3204Bayswater Day Procedure and Specialist Centre, 664 Mountain Highway, BAYSWATER, 3153Beleura Private Hospital, 925 Nepean Highway, Mornington, 3931Bellbird Private Hospital, 198 Canterbury Road, Blackburn, 3130Bendigo Day Surgery, 1-7 Chum Street, BENDIGO, 3554Bentleigh Surgicentre, 157 Jasper Road, Bentleigh, 3204Berkeley Day Surgery, 171 Berkeley Street, MELBOURNE, 3000Berwick Eye and Surgicentre, 22 Langmore Lane, BERWICK, 3806Box Hill Hospital, 8 Arnold St, Box Hill VIC , 3128Brighton Plastic Surgery Centre, 206 New Street, Brighton, 3186Brunswick Private Hospital, 82 Moreland Road, BRUNSWICK, 3056Bundoora Endoscopy Centre, 119 Plenty Road, BUNDOORA, 3083Cabrini Brighton, 243 New Street, Brighton, 3186Cabrini Health Elsternwick Rehabilition Service, 494 Glenhuntly Road, Elsternwick, 3185Cabrini Hopetoun Rehabilitation Hospital, 2-6 Hopetoun Road, ELSTERNWICK, 3185Cabrini Hospital - Malvern, 181-183 Wattletree Road, MALVERN, 3144Cabrini Hospital - Prahran, 646 High Street, PRAHRAN EAST, 3181Casey Day Procedure and Specialist Centre, 1A/30-32 Verdun Drive, NARRE WARREN, 3805Chelsea Heights Day Surgery and Endoscopy, 93 Wells Road, Chelsea Heights, 3196Chesterville Day Hospital, 28 Chesterville Road, CHELTENHAM, 3192Cobden District Health Services Inc, 5 Victoria Street, COBDEN, 3266Coburg Endoscopy Centre, 15 Munro Street, COBURG, 3058Como Private Hospital, 152 Como Parade West, Parkdale, 3194Corymbia House, 92-94 David Street, DANDENONG, 3175Cotham Private Hospital, 209 Cotham Road, Kew, 3101Dandenong Eye Clinic & Day Surgery Centre, 1-3 Falkiner Crescent, DANDENONG, 3175Darebin Endoscopy Services, 42 Station Street, FAIRFIELD, 3078Delmont Private Hospital, 298 Warrigal Road, Glen Iris, 3146Diaverum Diamond Valley Dialysis Clinic, 15 Grimshaw Street, Greensborough, 3088Diaverum North Melbourne Dialysis Clinic, Level 1, 185 - 187 Boundary Road, NORTH MELBOURNE, 3051Digestive Health Centre, 90 David Street, Dandenong, 3175Donvale Rehabilitation Hospital, 1119-1121 Doncaster Road, Donvale, 3111Dorset Rehabilitation Centre, 146 Derby Street, Pascoe Vale, 3044Dr Scope, 493 Ballarat Road, SUNSHINE, 3020East Melbourne Specialist Day Hospital, Gr Floor 23 Clarendon St&1st floor 344 Victoria Parade, East Melbourne, 3002Eastlink Surgical Centre, 303 Mountain Highway, WANTIRNA, 3152Eastside Endoscopy Centre, 33 Wantirna Road, RINGWOOD, 3134Epworth Cliveden, 29 Simpson Street, Melbourne East, 3002Epworth Eastern Hospital, 1 Arnold Street, BOX HILL, 3128Epworth Eastern Kew, 209 Cotham Road, KEW, 3101Epworth Freemasons, 166 Clarendon Street, Melbourne, 3002Epworth Freemasons, 320 Victoria Parade, Melbourne, 3002Epworth Geelong, 1 Epworth Place, Waurn Ponds, 3216Epworth Hawthorn, 50 Burwood Road, Hawthorn, 3122Epworth Rehabilitation Brighton, 85-91 Wilson Street, BRIGHTON, 3186Epworth Rehabilitation Camberwell, 888 Toorak Road, CAMBERWELL, 3124Epworth Richmond, Level 5, 89 Bridge Road, Richmond, 3121Essendon Day Procedure Centre, Level 2, 665 Mt Alexander Road, MOONEE PONDS, 3039Essendon Private Hospital, 33-35 Rosehill Road, Essendon, 3040Euroa Health, 36 Kennedy Street, EUROA, 3666Fertility Control Clinic, 116-118 Wellington Parade, EAST MELBOURNE, 3002Forest Hill Dialysis Clinic, Shops 26 & 27 Forest Hill Chase, 69 Mahoneys Road, FOREST HILL, 3131Frances Perry House, Levels 6 and 7, Corner Grattan Street and Flemington Road, PARKVILLE, 3052Frankston Hospital, 2 Hastings Rd, Frankston VIC, 3199Frankston Private Hospital, Lot T5, Levels 1 and 2, 24-28 Frankston-Flinders Road, Frankston, 3199Genesis Care Radiation Oncology Centre St Vincent's Hospital Melbourne, 41 Victoria Parade, Fitzroy, 3065Glen Eira Day Surgery, 554 Hawthorn Road, CAULFIELD SOUTH, 3162Glen Iris Private, 314-316 Warringal Road, GLEN IRIS, 3146Glenferrie Private Hospital, 29 Hilda Crescent, HAWTHORN, 3122Goonawarra Day Hospital, 1-11 Dornoch Drive, Sunbury, 3429Heidelberg Endoscopy and Day Surgery Centre, 177-179 Northern Road, HEIDELBERG HEIGHTS, 3081Heyfield Hospital Inc, 19 Tyson Road, HEYFIELD, 3858Holmesglen Private Hospital, 490 South Rd, Moorabbin, 3189Hyperbaric Health Wound Centre Bundoora, Cnr Plenty Road and Kingsbury Drive, Bundoora, 3083Hyperbaric Health, 3 Gibb Street, Berwick, 3806Imaging @ Olympic Park, AAMI Park Suite 2, 60 Olympic Boulevard, Melbourne, 3000Ivanhoe Endoscopy and Day Procedure Centre, 2/226 Upper Heidelberg Road, Ivanhoe, 3079Jessie McPherson Private Hospital, 246 Clayton Road, CLAYTON, 3168John Fawkner Private Hospital, 275 Moreland Road, COBURG, 3058Jolimont Endoscopy, 19/201 Wellington Parade South, EAST MELBOURNE, 3002Keilor Private, 12a Kennedy Street, KEILOR, 3036Kew Endoscopy, Suite 4-5, 828 High Street, KEW EAST, 3102Kilmore & District Hospital, Anderson Road, Kilmore, 3764Knox Private Hospital, 262 Mountain Highway, WANTIRNA, 3152La Trobe Private Hospital, Cnr Plenty Road and Kingsbury Drive, BUNDOORA, 3083Linacre Private Hospital, 12 Linacre Road, HAMPTON, 3188Linley Clinic, 25 Bryson Street, CANTERBURY, 3126Malvern Dialysis Clinic, 1133 Malvern Road, MALVERN, 3144Malvern Private Hospital, 3-9 Wilton Vale Crescent, MALVERN EAST, 3145Mandometer, Level 1, 412 Bay Street, Brighton, 3186Manningham Day Procedure Centre, Level 3, 200 High Street, Suite 304, Lower Templestowe, 3107Marie Stopes International East St Kilda, 338 Dandenong Road, EAST ST KILDA, 3183Marie Stopes International Maroondah, 411-415 Dorset Road, CROYDON, 3136Maryvale Private Hospital, 286 Maryvale Road, MORWELL, 3840Masada Private Hospital, 26 Balaclava Road, EAST ST KILDA, 3183Melbourne Day Surgery Centre, Level 1,961 Glenhuntly Road, CAULFIELD SOUTH, 3162Melbourne Endoscopy Group Day Procedure Centre, Suite 9 Level 3, 517 St Kilda Road, MELBOURNE, 3004Melbourne Endoscopy Monash Day Procedure Centre, 277 Clayton Road, CLAYTON, 3168Melbourne Medibrain Centre and Medisleep, 631 Inkerman Road, CAULFIELD NORTH, 3161Melbourne Oral & Facial Surgery, Level 12, 63 Exhibition Street, MELBOURNE, 3000Melbourne Private Hospital, Royal Parade, PARKVILLE, 3052Mercy Hospital for Women, Melbourne, 163 Studley Rd, Heidelberg VIC, 3084Mildura Private Hospital, 220-228 Thirteenth Street, MILDURA, 3500Mitcham Private Hospital, 27 Doncaster East Road, MITCHAM, 3132Monash Children's Hospital, Locked bag 29, Clayton South, Victoria, 3169Monash House Private Hospital, Level 1, 271 Clayton Road, Clayton, 3168Monash IVF Geelong, Suite 1, Level 2, Geelong Private Medical Centre, 73-79 Little Ryrie St,, GEELONG, 3220Monash Medical Centre, 246 Clayton Rd, Clayton VIC, 3168Monash Surgical Private Hospital, 252-256 Clayton Road, CLAYTON, 3168Mornington Endoscopy, 350 Main Street, Mornington, 3931Mulgrave Private Hospital, Blanton Drive, Mulgrave, 3170Murray Valley Private Hospital, Nordsvan Drive, WODONGA, 3690Nagambie Hospital Inc, 22 Church Street, NAGAMBIE, 3608Neerim District Health Service, 29-39 Main Road, NEERIM SOUTH, 3831Nephrocare Kew Private Dialysis Centre, 3/796 High Street, KEW, 3101Noble Park Endoscopy Centre, 1304 Heatherton Road, Noble Park, 3174North Eastern Rehabilitation Centre, 134-144 Ford Street, Ivanhoe, 3079Northpark Private Hospital, Greenhills Road, Bundoora, 3083Northwest Day Hospital, 221 Maribyrnong Road, Ascot Vale, 3032Panch Day Surgery Centre, Level 4, 84 Hotham Street, Preston, 3073Peninsula Oncology Centre, 24-28 Frankston-Flinders Road, Frankston, 3199Peninsula Private Hospital (Vic), Cnr Cranbourne Road & McClelland Dr, Frankston, 3199Peter MacCallum Cancer Centre, 305 Grattan St, Melbourne, 3000Reservoir Private Hospital Day Procedure Centre, 73-75 Pine Street, RESERVOIR, 3073Ringwood Private Hospital, 36 Mount Dandenong Road, EAST RINGWOOD, 3135Rosebud Surgicentre, 1537 Point Nepean Road, ROSEBUD WEST, 3940Royal Children's Hospital, 50 Flemington Rd, Parkville VIC, 3052Royal Melbourne Hospital, 300 Grattan St, Parkville VIC, 3050Royal Women's Hospital, 20 Flemington Rd, Parkville VIC, 3052Shepparton Private Hospital, 20 Fitzgerald Street, SHEPPARTON, 3630Sir John Monash Private Hospital, 212-220 Clayton Road, 1st Floor, CLAYTON, 3168Skin & Cancer Foundation Inc, Level 1 80 Drummon Street, CARLTON, 3053Skin Cancer Day Surgery, 19 Cleveland Road, ASHWOOD, 3147South Eastern Private Hospital, Cnr Princes Highway & Heatherton Road, NOBLE PARK, 3174Southern Eye Centre, Day Surgery & Laser Clinic, 44 Cranbourne Road, FRANKSTON, 3199Specialist Surgicentre Docklands, Tenancy 2, 22 Rakaia Way, DOCKLANDS, 3008Specialist Surgicentre Geelong, 200 Malop Street, GEELONG, 3220Springvale Endoscopy Centre and Day Hospital, 20 Balmoral Avenue, SPRINGVALE, 3171St Albans Endoscopy Centre, 328-330 Station Road, ST ALBANS, 3021St John of God Ballarat Hospital, 101 Drummond Street North, BALLARAT, 3350St John of God Bendigo Hospital, Lily Street, BENDIGO, 3550St John of God Berwick Day Oncology Centre, Level 1, Kangan Drive, Berwick, 3806St John of God Berwick - 75 Kangan Drive, Berwick, 3806St John of God Berwick Oncology Centre, 55 Kangan Drive, Berwick, 3806St John of God Frankston Rehabilitation Hospital, 255 Cranbourne Road, FRANKSTON, 3199St John of God Geelong Hospital, 80 and 83 Myers Street, GEELONG, 3220St John of God Pinelodge Clinic, 1480 Heatherton Road, DANDENONG, 3175St John of God Warrnambool Hospital, 136 Botanic Road, WARRNAMBOOL, 3280St Kilda Day Hospital, 26A Dickens Street, ELWOOD, 3184St Vincent's Private Hospital Kew, 5 Studley Avenue, KEW, 3101St Vincent's Hospital, Melbourne, 41 Victoria Parade, Fitzroy VIC, 3065St Vincent's Private Hospital East Melbourne, 159 Grey Street, EAST MELBOURNE, 3002St Vincent's Private Hospital Fitzroy, 59-61 Victoria Parade, FITZROY, 3065St Vincent Private Hospital Werribee, 240 Hoppers Lane, Werribee 3030Stonnington Day Surgery, Level 1; 253 Wattletree Road, MALVERN, 3144Sunshine Day Private Surgery, 145 Furlong Road, ST ALBANS, 3021Sunshine Hospital, 176 Furlong Rd, St Albans, 3021Sydenham Endoscopy and Day Surgery, 566 Melton Hwy, Sydenham, 3037Tarietta Day Surgery, 73 Kooyong Road, CAULFIELD NORTH, 3161The Alfred Hospital, 55 Commercial Rd, Melbourne VIC , 3004The Avenue Private Hospital, 40 The Avenue, WINDSOR, 3181The Bays Hospital, Vale Street, MORNINGTON, 3931The Geelong Clinic, 98 Townsend Road, ST ALBANS PARK, 3219The Geelong Private Hospital, Cnr Ryrie & Bellarine Streets, GEELONG, 3220The Glen Endoscopy Centre, 302 Springvale Road, Glen Waverley, 3150The Hampton Park Women's Health Care Centre, 2 Warana Drive, HAMPTON PARK, 3976The Melbourne Clinic, 130 Church Street, RICHMOND, 3121The Melbourne Eastern Private Hospital, 157 Scoresby Road, BORONIA, 3155The Valley Private Hospital, Cnr Police and Gladstone Roads, MULGRAVE, 3170The Victoria Clinic, 324 Malvern Road, PRAHRAN, 3181The Victorian Cosmetic Institute, Suite2, Level 1, 18-24 Clyde Road, BERWICK, 3806The Victorian Rehabilitation Centre, 499 Springvale Road, GLEN WAVERLEY, 3150The Women's Clinic Day Surgical Centre, 366 Church Street, RICHMOND, 3121Toorak-Malvern Day Surgery Centre, 30-32 Glenferrie Road, MALVERN, 3144Vermont Private Hospital, 645-647 Burwood Highway, Vermont South VIC, 3133Victoria Parade Surgery Centre, Level 1, 100 Victoria Parade, East Melbourne, 3002Vision Day Surgery Camberwell, 27 Denmark Hill Road, Hawthorn East, 3123Vision Day Surgery Eastern, 852-856 Whitehorse Road, BOX HILL, 3128Vision Day Surgery Footscray, 89 Paisley Street, Footscray, 3011Vision Laser St Kilda Road, 600 St Kilda Road, MELBOURNE, 3004Wangaratta Private Hospital, 134-150 Templeton Street, WANGARATTA, 3677Warringal Private Hospital, 216 Burgundy Street, HEIDELBERG, 3084Waverley Private Hospital, 343-357 Blackburn Road, MOUNT WAVERLEY, 3149Waverly Endoscopy, 301 Blackburn Road, MOUNT WAVERLEY, 3149Werribee Endoscopy, 179-181 Princes Highway, WERRIBEE, 3030Western Gastroenterology Services, 30 Eleanor Street, FOOTSCRAY, 3011Western Hospital (Public) - 160 Gordon Street, Footscray, 3011Western Private Hospital, 1-9 Marion Street, FOOTSCRAY, 3011Westpoint Endoscopy Day Hospital, 243 Heaths Road, HOPPERS CROSSING, 3029Williamstown Hospital, Stewart St, Williamstown, 3016 Windsor Avenue Day Surgery, 17 Windsor Avenue, SPRINGVALE, 3171Windsor Private Hospital, 20 The Avenue, WINDSOR, 3181Wyndham Clinic, 242A Hoppers Lane, Werribee, 3030 plus1 Add minus1 Remove PROVIDER NUMBERS - QLD If you know your Provider numbers, please enter them here. Click below to see our guide on how to obtain your provider numbers. Provider Number Please Select the Associated Hospital PLEASE SELECT HOSPITALBelmont Private Hospital, 1220 Creek Road, Carina, 4152Brisbane Endoscopy Service, Suites 16 & 17 McCullough Centre, 259 McCullough Street, SUNNYBANK, 4109Brisbane Private Hospital, 259 Wickham Terrace, Brisbane, 4000Buderim Gastroenterology Centre (Maroochydore), Suite 5, 102 Wises Road, MAROOCHYDORE, 4558Caboolture Private Hospital, McKean Street, CABOOLTURE, 4510Cairns Central Day Hospital, Ground & 4th Floor, Cairns Central Plaza, Cnr Mcleod & Aplin Sts, Cairns, 4870Cairns Day Surgery, 156-160 Grafton Street, Cairns, 4870Cairns Haematology and Oncology Centre, Unit 2C, 5 Upward Street, Cairns, 4870Cairns Private Hospital, 1 Upward Street, Cairns, 4870Caloundra Private Clinic, 96 Beerburrum Street, Caloundra, 4551Canossa Private Hospital, Canossa Medical Centre, 169 Seventeen Mile Rocks Road, Oxley, 4075Chermside Day Hospital, Suite 9, Chermside Medical Complex, 956 Gympie Road, CHERMSIDE, 4032Chermside Dialysis Unit, 671 Gympie Road, CHERMSIDE, 4032Children's Oral Health Service, Coles Building, Royal Children's Hospital, HERSTON, 4029Clifton Co-op Hospital Ltd, Norman Street, CLIFTON, 4361Currumbin Clinic, 37 Bilinga Street, CURRUMBIN, 4223Eastern Endoscopy Centre, 120 Birkdale Road, BIRKDALE, 4159Eden Rehabilitation Hospital, 50-58 Maple Street, COOROY, 4563Eye-Tech Day Surgeries Southside, 22-26 Sanders Street, UPPER MOUNT GRAVATT, 4122Eye-Tech Day Surgeries, Level 3, St Andrew's Place, North Street, SPRING HILL, 4000Friendly Society Private Hospital, 19-23 Bingera Street, Bundaberg, 4670Gold Coast Hospital, 1 Hospital Blvd, Southport QLD, 4215Gold Coast Private Hospital, 14 Hill Street, SOUTHPORT, 4215Gold Coast Surgical Hospital, 2 Lake Street, Varsity Lakes, 4227Greenslopes Day Surgery, 687 Logan Road, GREENSLOPES, 4120Greenslopes Private Hospital, Newdegate St, Greenslopes QLD, 4120Greenslopes Private Hospital, Newdegate Street, GREENSLOPES, 4120Gympie Private hospital, 78-82 Channon Street, GYMPIE, 4570Hervey Bay Surgical Hospital, Cnr O'Rourke Street & Boat Harbour Drive, PIALBA, 4655Hillcrest - Rockhampton Private Hospital, 4 Talford Street, ROCKHAMPTON, 4700Hopewell Hospice, 11 Dunkirk Close, ARUNDEL, 4214Icon Cancer Care Chermside, Chermside Medical Centre, Level 1, 930-956 Gympie Road, CHERMSIDE, 4032Icon Cancer Care North Lakes, 9 McLennan Court, North Lakes, 4509Icon Cancer Care South Brisbane, 293 Vulture Street, SOUTH BRISBANE, 4101Icon Cancer Care Southport, Level 9, Premion Place, 39 White Street, SOUTHPORT, 4215Icon Cancer Care Townsville, 9-13 Bayswater Road, Hyde Park, 4812Icon Cancer Care Wesley, 1st Floor, Wesley Medical Centre, 40 Chasley Street, AUCHENFLOWER, 4066Icon Integrated Cancer Centre Bundaberg, 125 Woongarra Street, Bundaberg, 4670Ipswich Day Hospital, 10 Churchill Street, IPSWICH, 4305Ipswich Hospice Care, 37 Chermside Road, Eastern Heights, IPSWICH, 4305John Flynn - Private Hospital, 42 Inland Drive, Tugun, 4224Kawana Private Hospital, Suite 14, Level 1, 5 Innovation Parkway, BIRTINYA, 4575Lady Bjelke-Petersen Community Hospital, 31 Markwell Street, KINGAROY, 4610Logan Endoscopy Services, Unit 2/3276 Beaudesert Road, BROWNS PLAINS, 4118Mackay Rehabilitation Hospital, 57 Norris road, North Mackay, 4740Mackay Specialist Day Hospital, 85 Willetts Road, NORTH MACKAY, 4740Marie Stopes International - Salisbury, 11 Hayling Street, SALISBURY, 4107Marie Stopes International Bowen Hills, 8 Campbell Street, BOWEN HILLS, 4006Marie Stopes International Rockhampton, 123 Bolsover Street, Rockhampton, 4700Marie Stopes International Southport, 34 Cougal Street, Southport, 4215Marie Stopes International Townsville, 26 Mcilwraith Street, TOWNSVILLE, 4810Mater Health Services, 8 Halcyon Way, Hope Island QLD, 4212Mater Hospital Pimlico, 21-37 Fulham Road, PIMLICO, 4810Mater Misericordiae Day Unit, 1 Wellington Street, MACKAY, 4740Mater Misericordiae Hospital Bundaberg, 313 Bourbong Street, BUNDABERG, 4670Mater Misericordiae Hospital Gladstone, Rossella Street, GLADSTONE, 4680Mater Misericordiae Hospital Mackay, 76 Willetts Road, NORTH MACKAY, 4740Mater Misericordiae Hospital Rockhampton, Cnr Ward & Jessie Streets, ROCKHAMPTON, 4700Mater Private Hospital (South Brisbane), Raymond Terrace, SOUTH BRISBANE, 4101Mater Private Hospital Redland, Weippin Street, Cleveland, 4163Mater Private Hospital Springfield, 30 Health Care Drive, Springfield Central, 4300Mater Women's & Children's Private Health Services, Raymond Terrace, SOUTH BRISBANE, 4101Mater Women's and Children's Hospital Hyde Park, 12-14 Oxford Street, HYDE PARK, 4812Miami Day Hospital, 2164 Gold Coast Highway, Miami, 4220Montserrat Day Hospitals (Gaythorne), 383-391 Samford Road, GAYTHORNE, 4051Montserrat Day Hospitals (Indooroopilly), 12 Riverview Terrace, INDOOROOPILLY, 4068Nambour Day Surgery, 115 Howard Street, NAMBOUR, 4560Nambour Selangor Private Hospital, 62 Netherton Street, NAMBOUR, 4560New Farm Clinic, 22 Sargent Street, NEW FARM, 4005Noosa Hospital, 111 Goodchap Street, NOOSAVILLE, 4566North Lakes Day Hospital, 7 Endeavour Boulevard, North Lakes, 4509North Queensland Day Surgical Centre, 119 Kings Road, PIMLICO, 4812North West Private Hospital, 137 Flockton Street, EVERTON PARK, 4053Northside Endoscopy Service, 17 Hasking Street, CABOOLTURE, 4510Pacific Day Surgery Centre, 38 Misterton Street, FORTITUDE VALLEY, 4006Pacific Private Day Hospital, 119-123 Nerang Street, SOUTHPORT, 4215Peninsula Eye Hospital, 47 Redcliffe Parade, REDCLIFFE, 4020Peninsula Private Hospital (Qld), Cnr George & Florence Streets, KIPPA-RING, 4020Pindara Day Procedure Centre, 13 Carrara Street, BENOWA, 4217Pindara Private Hospital, Allchurch Avenue, BENOWA, 4217Pine Rivers Private Hospital, Dixon Street, STRATHPINE, 4500Princess Alexandra Hospital, 199 Ipswich Rd, Woolloongabba QLD, 4102Queensland Eye Hospital, 55 Little Edward Street, SPRING HILL, 4004RiverCity Private Hospital, 401 Milton Road, Auchenflower, 4066Robina Hospital, 2 Bayberry Ln, Robina QLD, 4226Robina Private Hospital, 1 Bayberry Lane, Robina, 4226Robina Procedure Centre, Tenancy 4110, Level 3, Robina Town CentreDrive, Robina Town Centre Drive, ROBINA TOWN CENTRE, 4230Roderick Street Day Surgery, 23 Roderick Street, IPSWICH, 4305Royal Brisbane and Women's Hospital, Butterfield St, Herston QLD, 4029Royal Brisbane and Women's Hospital, Butterfield St, Herston QLD, 4029Salisbury Day Surgery, 11 Hayling Street, Salisbury, 4107Short Street Day Surgery, 2 Short Street, SOUTHPORT, 4215South Bank Day Hospital Pty Ltd, 140 Melbourne Street, South Brisbane, 4101South Coast Digestive Diseases Centre, 86 Ashmore Road, BUNDALL, 4217Southside Endoscopy Centre, 66 Bryants Road, Loganholme, 4129Spendelove House Private Hospital, 24 Spendelove Avenue, SOUTHPORT, 4215Spring Hill Clinic, Level 1, 383 Wickham Terrace, SPRING HILL, 4000Spring Hill Specialist Day Hospital, 1st and 4th Floor, St Andrews Place, North Street, SPRING HILL, 4000St Andrew's - Ipswich Private Hospital, Cnr Roderick & Pring Streets, IPSWICH, 4305St Andrew's Toowoomba Hospital, 280 North Street, TOOWOOMBA, 4350St Andrew's War Memorial Hospital, 457 Wickham Terrace, BRISBANE, 4000St Stephens Hospital Hervey Bay, 1 Medical Place, URRAWEEN, 4655St Vincent's Hospital Brisbane, 411 Main Street, KANGAROO POINT, 4169St Vincent's Hospital, Scott Street, TOOWOOMBA, 4350St Vincent’s Private Hospital Northside - 627 Rode Road, Chermside, 4032Sunnybank Private Hospital, 245 McCullough Street, SUNNYBANK, 4109Sunshine Coast Day Surgery, Cnr Memorial & Second Avenues, MAROOCHYDORE, 4558Sunshine Coast Haematology and Oncology Clinic, 10 King Street, Buderim, 4556Sunshine Coast University Private Hospital, 3 Doherty Street, BIRTINYA, 4575The Cairns Clinic, 253 Sheridan Street, North Cairns, 4870The Cosmetic Institute Southport, 98a Marine Parade, South Port, 4215The Prince Charles Hospital, Rode Rd, Chermside QLD, 4032The Sunshine Coast Private Hospital, Syd Lingard Drive, BUDERIM, 4556The Wesley Clinic for Hyperbaric Medicine, Ground Floor, Sandford Jackson Building, Chasley Street, AUCHENFLOWER, 4066The Wesley Hospital, 451 Coronation Drive, AUCHENFLOWER, 4066Toowong Private Hospital, 496 Milton Road, Toowong, 4066Toowoomba Hospice, 57b O'Quinn Street, TOOWOOMBA, 4350Toowoomba Surgicentre, 18 Scott Street, TOOWOOMBA, 4350Townsville Day Surgery, 1 Martinez Avenue, West End, TOWNSVILLE, 4810Townsville Private Clinic, 136-146 Wills Street, Townsville City, 4810Varsity Lakes Dialysis Clinic, Level 3 Corner Bermuda Street and Lake Orr Drive, Varsity Lakes, 4227Vision Centre Day Surgery, 95 Nerang Street, SOUTHPORT, 4215 plus1 Add minus1 Remove PROVIDER NUMBERS - WA If you know your Provider numbers, please enter them here. Click below to see our guide on how to obtain your provider numbers. Provider Number Please Select the Associated Hospital PLEASE SELECT HOSPITALAbbotsford Private Hospital, 61-69 Cambridge Street, WEST LEEDERVILLE, 6007Academy Day Hospital, Suite 1a, 1 Roydhouse Street, Subiaco, 6008Albany Community Hospice, Diprose Crescent, ALBANY, 6330Bethesda Hospital, 25 Queenslea Drive, Claremont, 6010Blackwood River Clinic, Lot 3 Nelson Location, 778 Balingup-Nannup Road, Nannup, 6275Bunbury Day Surgery, 140 Spencer St, BUNBURY, 6230Cambridge Day Surgery, 178 Cambridge Street, Wembley, 6014Churchill Day Surgery, 136 Churchill Avenue, SUBIACO, 6008Colin Street Day Surgery, 51 Colin Street, West Perth, 6005Concept Day Hospital, 218 Nicholson Road, SUBIACO, 6008Diaverum Cannington Dialysis Clinic, 15 Leila Street, CANNINGTON, 6107Diaverum Rockingham Dialysis Clinic, Level 1, 35 McNicholl Street, ROCKINGHAM, 6168Diaverum Stirling Dialysis Clinic, 1 Puccini Court, STIRLING, 6021Fiona Stanley Hospital, 11 Robin Warren Dr, Murdoch WA, 6150Genesis Care, 57 Shenton Avenue, Joondalup, 6027GI Clinic Perth, Units 9 & 10, 16 Hulme Court, MYAREE, 6154Glengarry Private Hospital, 53 Arnisdale Road, Duncraig, 6023Healthe Care Marian Centre, 187 Cambridge Street, WEMBLEY, 6014Hollywood Private Hospital, Monash Avenue, Nedlands, 6009Joondalup Health Campus, Shenton Avenue, JOONDALUP, 6027King Edward Memorial Hospital for Women, 374 Bagot Rd, Subiaco WA, 6008Kings Park Day Hospital, Suite 1, 1 Walker Avenue, WEST PERTH, 6005Lions Eye Institute Day Surgery Centre, 2 Verdun Street, Nedlands, 6009Marie Stopes International, Midland Centre, 8 Sayer Street, MIDLAND, 6056McCourt Street Day Surgery, 28 McCourt Street, WEST LEEDERVILLE, 6007Mount Hospital, 150 Mounts Bay Road, PERTH, 6000Murdoch Surgicentre, 100 Murdoch Drive, MURDOCH, 6150Ngala Family Services, 9 George Street, KENSINGTON, 6151Northam Hospital (PUBLIC) - Robinson Street, Northam, 6401Oxford Day Surgery and Dermatology, 416-418 Oxford Street, Mount Hawthorn, 6016Peel Health Campus - Private, 110 Lakes Road, MANDURAH, 6210Perth Clinic, 29 Havelock Street, WEST PERTH, 6005Perth Day Surgery Centre, 166-168 Cambridge Street, Leederville, 6007Perth Dermatology Clinic, 5-7 Robinson Avenue, Perth, 6000Perth Eye Hospital, 42 Ord Street, West Perth, 6005Princess Margaret Hospital for Children, 1 Roberts Rd, Subiaco WA , 6008Royal Perth Hospital, 197 Wellington St, Perth WA, 6000Sir Charles Gairdner Hospital, G Block, Hospital Ave, Nedlands WA, 6009SleepMed Healthcare, 78 Farrington Road, Leeming, 6149South Perth Endoscopy, 20 Fortune Street, SOUTH PERTH, 6151South Perth Hospital, 76 South Terrace, SOUTH PERTH, 6151Southbank Day Surgery, 38 Meadowvale Avenue, SOUTH PERTH, 6151Spearwood Haemodialysis Unit, 2-6 Lancaster Street, Spearwood, 6163St John of God Geraldton Hospital, 12 Hermitage Street, GERALDTON, 6530St John of God Hospital, Bunbury, Cnr Robertson Drive & Bussell Highway, BUNBURY, 6230St John of God Hospital, Murdoch, 100 Murdoch Drive, MURDOCH, 6150St John of God Hospital, Subiaco, 12 Salvado Road, SUBIACO, 6008St John of God Midland Public Hospital and St John of God Midland Private Hospital, 1 Clayton Street, Midland, 6056St John of God Mt Lawley Hospital, Thirlmere Road, MOUNT LAWLEY, 6050St John of God Wembley Day Surgery, 190 Cambridge Street, Wembley, 6014Subiaco Private Hospital, Suite 9, 1 Salvado Road, SUBIACO, 6008The Attadale Rehabilitation Hospital, 21 Hislop Road, Attadale, 6156The Park Private Hospital, 14 Alvan Street, MOUNT LAWLEY, 6050Waikiki Private Hospital, 221 Willmot Drive, WAIKIKI, 6169Walcott Street Surgical Centre, 41 Walcott Street, Mount Lawley, 6050West Coast Endoscopy Centre, Cnr McLarty Avenue & Pimlico Place, JOONDALUP, 6027West Leederville Private Hospital - Level 3, 2 McCourt Street, WEST LEEDERVILLE, 6007Westminster Day Surgery, 476 Wanneroo Road, WESTMINSTER, 6061Woodvale Private Hospital for Women, 231 Timberlane Drive, WOODVALE, 6026 plus1 Add minus1 Remove PROVIDER NUMBERS - TAS If you know your Provider numbers, please enter them here. Click below to see our guide on how to obtain your provider numbers. Provider Number Please Select the Associated Hospital PLEASE SELECT HOSPITALCalvary Health Care Tasmania - Launceston campus (St Lukes), 24 Lyttleton Street, LAUNCESTON, 7250Calvary Health Care Tasmania - St Johns campus, 30 Cascade Road, SOUTH HOBART, 7000Calvary Health Care Tasmania - St Vincents campus, 5 Frederick Street, LAUNCESTON, 7250Calvary Lenah Valley Hospital, 49 Augusta Road, Lenah Valley, 7008Devonport Eye Hospital, 62 Oldaker Street, Devonport, 7310Hobart Day Surgery, 10 Warneford Street, HOBART, 7004Hobart Private Hospital, Cnr Collins & Argyle Street, HOBART, 7001Launceston General Hospital, 274-280 Charles St, Launceston TAS, 7250North Tas Day Hospital, 25-27 Canning Street, Launceston, 7250North West Private Hospital, 21 Brickport Road, BURNIE, 7320St Helens Private Hospital, 186 Macquarie Street, HOBART, 7000Steele Street Clinic, 166 Steele Street, DEVONPORT, 7310The Eye Hospital, 262 Charles Street, LAUNCESTON, 7250The Hobart Clinic, 31 Chipmans Road, ROKEBY, 7019Wellington Day Hospital, 2/127 Wellington Street, Launceston, 7250 plus1 Add minus1 Remove BUPA Practice ID * BUPA gives each Assistant a specific practice ID. Don't know yours? Just call BUPA 1800 060 239 and ask for your provider ID. This field cannot be blank SIGNING No or Known Gap * NO Gap KNOWN Gap If you plan on charging patients an out of pocket expense, you will need to select KNOWN Gap. Please note that you will need to be responsible for chasing your own gap payments. We do not chase these for you. OpBill has no direct patient contact. Privacy Check this to prevent the health funds from publishing your details on their registers Please note that with BUPA, all Medical Gap Scheme participants will be listed on their doctors register regardless of what you select here. Please select the date of service of the earliest case you are submitting to OpBill * Who Processed this form: We use this to determine who at times may be given special discounts, prizes and more. Signature * Clear Please allow jump to 3 minutes to process the form. You will get a success notification if the form was successful. 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