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