Doctor profile · Federal record
Dr. LIONEL BERCOVITCH, M.D.
Dermatology Physician (CMS: DERMATOLOGY) · Clinical & Laboratory Dermatological Immunology Physician · PROVIDENCE, RI
- NPI 1962473314
- Accepts Medicare
- 57 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
593 EDDY STREET,, APC-10
PROVIDENCE, RI 02903
(401) 444-7959
fax (401) 444-7144 - Mailing address
-
15 LA SALLE SQ
PROVIDENCE, RI 029031814
Credentials & registration
- NPI registered
- February 2006 — 20 yrs on file
- Profile last updated
- March 10, 2026
- Year of graduation
- 1969 — 57 yrs since
- Specialty taxonomy
- 207N00000X — NUCC code
- State licenses (2)
- Rhode Island #MD05283 · Massachusetts #36392
- Medicaid
- RI #1962473314
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1962473314. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$30
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 2 | $30.41 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
12
Patients
0
Total drug cost
$1,323
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Tazarotene | Generic | 12 | 0 | $1,323 |