VICTOR A HERESNIAK DO
NPI 1336194596
Emergency Medicine in Chester, PA
About Victor A Heresniak Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VICTOR A HERESNIAK DO (NPI 1336194596) is an individual emergency medicine provider in Chester, Pennsylvania, licensed in New Jersey (25MB05928100) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Hospital Muskogee, and is a graduate of Other (1986).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Victor A Heresniak Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
10Medicare enrollment records show Victor Heresniak reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wilmington, DE 19803
- Reassigned Medicare billing, Delaware enrollment
- 1,531 clinicians in this Medicare group
Newark, DE 19718
- Reassigned Medicare billing, Delaware enrollment
- 167 clinicians in this Medicare group
Dover, DE 19901
- Reassigned Medicare billing, Delaware enrollment
- 142 clinicians in this Medicare group
Everett, PA 15537
- Reassigned Medicare billing, Pennsylvania enrollment
- 80 clinicians in this Medicare group
Roaring Spring, PA 16673
- Reassigned Medicare billing, Pennsylvania enrollment
- 771 clinicians in this Medicare group
Roaring Spring, PA 16673
- Reassigned Medicare billing, Pennsylvania enrollment
- 112 clinicians in this Medicare group
Hastings, PA 16646
- Reassigned Medicare billing, Pennsylvania enrollment
- 56 clinicians in this Medicare group
Meyersdale, PA 15552
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Dlp Conemaugh Meyersdale Medical Center, LLC
- 56 clinicians in this Medicare group
Pittsburgh, PA 15235
- Reassigned Medicare billing, Pennsylvania enrollment
- 7,114 clinicians in this Medicare group
Tulsa, OK 74136
- Reassigned Medicare billing, Oklahoma enrollment
- 263 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Francis Hospital Muskogee
Acute Care Hospitals · Muskogee, OKSaint Francis Hospital, Inc
Acute Care Hospitals · Tulsa, OKSaint Francis Hospital South, LLC
Acute Care Hospitals · Tulsa, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHESTER, PA 19013
CHESTER, PA 19013
CHESTER, PA 19013
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Victor Heresniak's NPI number?
The NPI number for Victor Heresniak is 1336194596. It was assigned to this individual provider in the NPPES registry on May 24, 2006.
Where is Victor Heresniak located?
Victor Heresniak practices at 1 Medical Center Blvd Crozer Chester Medical Center, Chester, PA 19013. The listed phone number is (215) 447-2000.
What is Victor Heresniak's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Victor Heresniak enrolled in Medicare?
Yes. Victor Heresniak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Victor Heresniak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Victor Heresniak reassigns Medicare benefits to 10 organizations: Christiana Care Health Services, Inc (Wilmington, DE), Christiana Care Emergency Physicians LLC (Newark, DE), Bayhealth Emergency Physicians LLC (Dover, DE), Upmc Bedford Memorial (Everett, PA), Dlp Conemaugh Physician Practices LLC (Roaring Spring, PA) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Victor Heresniak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Victor Heresniak accept?
Health plans from AmeriHealth Caritas Next list Victor Heresniak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Victor Heresniak affiliated with any hospitals?
According to CMS data, Victor Heresniak is affiliated with Saint Francis Hospital Muskogee, Saint Francis Hospital, Inc and Saint Francis Hospital South, LLC.
When was this NPI record last updated?
The NPPES record for Victor Heresniak was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Victor A Heresniak, DO · NPI 1336194596
Emergency Medicine physician in Chester, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 24, 2006.
## Identity
- **NPI:** 1336194596 (Entity type: Individual)
- **Enumerated:** May 24, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 25MB05928100 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 MEDICAL CENTER BLVD, CROZER CHESTER MEDICAL CENTER, Chester, PA 19013-3902
- **Phone:** (215) 447-2000 · **Fax:** (610) 617-6280
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Christiana Care Health Services, Inc (NPI 1619951068, Wilmington, DE); Christiana Care Emergency Physicians LLC (NPI 1639956451, Newark, DE); Bayhealth Emergency Physicians LLC (NPI 1073012696, Dover, DE); Upmc Bedford Memorial (NPI 1184772113, Everett, PA); Dlp Conemaugh Physician Practices LLC (NPI 1245742188, Roaring Spring, PA); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1986
## Record status
- **NPPES last updated:** January 22, 2025
- **Other identifiers:** Medicaid 1427270 (PA); Medicaid 5500702 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1336194596) · Data from the CMS NPPES public registry.