Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sean Thomas Kacerosky, PA-C

Individual provider Physician Assistant · NPI 1417695495

Sean Thomas Kacerosky, PA-C is a Physician Assistant in Cary, North Carolina. Qualified in 2022, 4 years ago. Practices with Cary Endocrine and Diabetes Center PA, a 5-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6750 Tryon Rd Ste 103
Cary, NC 27518-7056
Phone: (919) 378-2332
Fax: (919) 378-2333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-14579 (NC)

Record details

NPI number1417695495
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 20, 2022
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Cary Endocrine And Diabetes Center Pa — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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