KENNETH G NADEAU (PAC) – Physician Assistant, NPI 1003916388

KENNETH G NADEAU (PAC) is a healthcare provider. based in Old town, Maine. specializing in Physician Assistant. They hold the professional credentials PAC. They hold a License No. PA94 (ME). The NPI Number for KENNETH G NADEAU (PAC) is 1003916388

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH G NADEAU (PAC)
NPI
1003916388
Phone
(207) 827-6128
Address
242 BRUNSWICK ST
Enumeration Date
25 September 2006
Last Update Date
5 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2074048181
Graduation Year
1979 (47 years ago)
PAC ID
1557368503
Group Practice PAC ID
0143212670
Professional Enrollment ID
I20061103000413
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for KENNETH G NADEAU (PAC)

  • 242, Brunswick Street, Great Works, Old Town, Penobscot County, Maine, 04468, United States

    OLD TOWN, ME 04468

    Phone: (207) 827-6128

    Fax: (207) 827-5533

    Type: Location

  • 1599, Pushaw Road, East Bangor, Bangor, Penobscot County, Maine, 04401, United States

    BANGOR, ME 044021599

    Phone: (207) 945-5247

    Fax: (207) 947-0435

    Type: Mailing

  • 1068 UNION ST

    BANGOR, ME 044013016

    Phone: (207) 404-8181

    Fax: (207) 922-4198

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04468)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143212670View full group profile
NameSpecialtyState
Clinical Social WorkerME
Mental Health CounselorME
Clinical Social WorkerME
Nurse PractitionerME
Clinical Social WorkerME
Physician AssistantME
-ME
-ME
Nurse PractitionerME
Nurse PractitionerME

Reviews

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Frequently asked questions

How is KENNETH G NADEAU (PAC) identified in CMS data?
CMS-hosted NPPES data lists KENNETH G NADEAU (PAC) with NPI 1003916388.
Does CMS list KENNETH G NADEAU (PAC) as active?
Yes — KENNETH G NADEAU (PAC) is active in the NPI listing used on this page.
What is KENNETH G NADEAU (PAC) best known for clinically?
Directory data describes KENNETH G NADEAU (PAC) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect KENNETH G NADEAU (PAC) on a map?
Expect Old Town, Maine as a primary anchor for KENNETH G NADEAU (PAC) unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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