Samantha M Rutkoski, OD - Medicare Optometrist in Wellsboro, PA

Samantha M Rutkoski, OD is a medicare enrolled "Optometrist" provider in Wellsboro, Pennsylvania. She went to Pennsylvania College Of Optometry and graduated in 2025 and has 1 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Grady D. Gafford Md Pc and her current practice location is 15 Meade St Ste U1, Wellsboro, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (570) 724-2131.

Samantha M Rutkoski is licensed to practice in Pennsylvania (license number OEG004346) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164370177.

Contact Information

Samantha M Rutkoski, OD
15 Meade St Ste U1,
Wellsboro, PA 16901-1813
(570) 724-2131
(570) 724-5471

Map and Direction




Healthcare Provider's Profile

Full NameSamantha M Rutkoski
GenderFemale
SpecialityOptometry
Experience1 Years
Location15 Meade St Ste U1, Wellsboro, Pennsylvania
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samantha M Rutkoski attended and graduated from Pennsylvania College Of Optometry in 2025
  NPI Data:
  • NPI Number: 1164370177
  • Provider Enumeration Date: 03/17/2026
  • Last Update Date: 03/17/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 0244715902
  • Enrollment ID: I20260331001224

Medical Identifiers

Medical identifiers for Samantha M Rutkoski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164370177NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist OEG004346 (Pennsylvania)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Grady D. Gafford Md Pc00422580485

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha M Rutkoski is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Samantha M Rutkoski, OD
15 Meade St Ste U1,
Wellsboro, PA 16901-1813

Ph: (570) 724-2131
Samantha M Rutkoski, OD
15 Meade St Ste U1,
Wellsboro, PA 16901-1813

Ph: (570) 724-2131

Reviews and Comments


Optometrist in Wellsboro, PA

Dr. Scott Cole Lee, OD
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 87 Main St, Wellsboro, PA 16901
Phone: 570-724-4216    Fax: 570-723-5092
Grady D. Gafford Md Pc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 15 Meade St, Suite 1, Wellsboro, PA 16901
Phone: 570-724-2131    Fax: 570-724-5471
Dr. Scott P. Rutkoski, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 15 Meade St, Suite U-1, Wellsboro, PA 16901
Phone: 570-724-2131    Fax: 570-724-5471
Dr. David William Fox, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 127 Main St, Wellsboro, PA 16901
Phone: 570-724-4756    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.