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Rebecca Lynne Malan

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

This provider is enrolled in PECOS as REBECCA MALAN.

Based on the most recent information from CMS, provider Rebecca Lynne Malan is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1487774063
Provider Type
Individual
Full Name
Malan, Rebecca Lynne
Title
Mrs.
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
3/29/2007
Last Updated
8/30/2025

Contact Information

Practice Location

1675 Curlew Dr, Ammon, ID 83406-4718

(208) 360-1038

Unlisted Fax

Mailing Location

PO Box 2106, Idaho Falls, ID 83403-2106

(208) 523-5319

(208) 523-5627

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License LCSW-8911283 Idaho
Code 104100000X	Description Social Worker Behavioral Health & Social Service Providers	License 43556 Idaho
Code 175M00000X	Description Midwife, Lay Other Service Providers	License 06003 Texas

Rebecca Lynne Malan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

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