Updating your Ancillary Provider Details

To change your recognised name with Medibank, please fax a request letter along with your Marriage Certificate or a copy of your Deed Poll certificate marked "Attention: Medical and Ancillary Adjustments and Registrations" to (03) 8456 6250.

You can amend your existing Provider address detail when you have moved on the same street (within the same suburb) or changed buildings (within same suburb). Please fax your change of address details marked "Attention: Medical and Ancillary Adjustments and Registrations" to (03) 8456 6250. If you have moved to a new street within a suburb you will need to apply for a new Provider number. Please click on the link to add an additional location.